Provider Demographics
NPI:1508952037
Name:LAY, CATHY H (MD)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:H
Last Name:LAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:R
Other - Last Name:HURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3330 PTARMIGAN LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0521
Mailing Address - Country:US
Mailing Address - Phone:406-457-4180
Mailing Address - Fax:406-495-7935
Practice Address - Street 1:3330 PTARMIGAN LN
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0521
Practice Address - Country:US
Practice Address - Phone:406-457-4180
Practice Address - Fax:406-495-7935
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12761207Q00000X
SC26738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC267384Medicaid
MT12761OtherMONTANA STATE MEDICAL LICENSE NUMBER
MT12761OtherMONTANA STATE MEDICAL LICENSE NUMBER
I63858Medicare UPIN
4542Medicare PIN