Provider Demographics
NPI:1952816621
Name:PUREVIEW HEALTH CENTER
Entity Type:Organization
Organization Name:PUREVIEW HEALTH CENTER
Other - Org Name:PUREVIEW HEALTH CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILL-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-500-5020
Mailing Address - Street 1:1930 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4759
Mailing Address - Country:US
Mailing Address - Phone:406-457-0000
Mailing Address - Fax:
Practice Address - Street 1:1930 9TH AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4759
Practice Address - Country:US
Practice Address - Phone:406-500-2080
Practice Address - Fax:406-500-2133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUREVIEW HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-04
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT454663336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT7093307Medicaid