Provider Demographics
NPI:1013489095
Name:SCOTT W FALLEY MD LLC
Entity Type:Organization
Organization Name:SCOTT W FALLEY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-431-7332
Mailing Address - Street 1:1200 N MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3515
Mailing Address - Country:US
Mailing Address - Phone:406-431-7332
Mailing Address - Fax:406-996-1511
Practice Address - Street 1:1200 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3515
Practice Address - Country:US
Practice Address - Phone:406-431-7332
Practice Address - Fax:406-996-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-01
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care