Provider Demographics
NPI:1477921658
Name:BITTERROOT VALLEY URGENT CARE
Entity Type:Organization
Organization Name:BITTERROOT VALLEY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:406-363-4120
Mailing Address - Street 1:1230 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3101
Mailing Address - Country:US
Mailing Address - Phone:406-363-4120
Mailing Address - Fax:406-363-4592
Practice Address - Street 1:1230 N 1ST ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3101
Practice Address - Country:US
Practice Address - Phone:406-363-4120
Practice Address - Fax:406-363-4592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7377261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care