Provider Demographics
NPI:1609950633
Name:PATRICIA M. INGALLS
Entity Type:Organization
Organization Name:PATRICIA M. INGALLS
Other - Org Name:HIGHLAND HEARING CENTER PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:INGALLS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:406-723-6600
Mailing Address - Street 1:1369 HARRISON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4875
Mailing Address - Country:US
Mailing Address - Phone:406-723-6600
Mailing Address - Fax:406-723-6660
Practice Address - Street 1:1369 HARRISON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4875
Practice Address - Country:US
Practice Address - Phone:406-723-6600
Practice Address - Fax:406-723-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000083478Medicare ID - Type Unspecified