Provider Demographics
NPI:1629786132
Name:SCOGGINS SERVICES
Entity Type:Organization
Organization Name:SCOGGINS SERVICES
Other - Org Name:CHRISTY'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:406-301-8114
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:MT
Mailing Address - Zip Code:59538-0686
Mailing Address - Country:US
Mailing Address - Phone:406-301-8114
Mailing Address - Fax:
Practice Address - Street 1:155 S 1ST AVE E
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:MT
Practice Address - Zip Code:59538-5953
Practice Address - Country:US
Practice Address - Phone:406-301-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCOGGINS SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-14
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty