Provider Demographics
NPI:1578254942
Name:BENEFIS HOSPITALS, INC.
Entity Type:Organization
Organization Name:BENEFIS HOSPITALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-455-2172
Mailing Address - Street 1:PO BOX 5096
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-5096
Mailing Address - Country:US
Mailing Address - Phone:406-455-2170
Mailing Address - Fax:406-455-2171
Practice Address - Street 1:500 15TH AVE S STE 2
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4324
Practice Address - Country:US
Practice Address - Phone:406-455-2170
Practice Address - Fax:406-455-2171
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENEFIS HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-17
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy