Provider Demographics
NPI:1437495561
Name:PUREVIEW HEALTH CENTER
Entity Type:Organization
Organization Name:PUREVIEW HEALTH CENTER
Other - Org Name:COOPERATIVE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-457-8956
Mailing Address - Street 1:1930 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4759
Mailing Address - Country:US
Mailing Address - Phone:406-443-2584
Mailing Address - Fax:406-457-8990
Practice Address - Street 1:1930 9TH AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4759
Practice Address - Country:US
Practice Address - Phone:406-443-2584
Practice Address - Fax:406-457-8992
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUREVIEW HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT20541363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty