Provider Demographics
NPI:1255879615
Name:WESTERN HEALTH SCREENING
Entity type:Organization
Organization Name:WESTERN HEALTH SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-252-3225
Mailing Address - Street 1:PO BOX 30157
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-0157
Mailing Address - Country:US
Mailing Address - Phone:406-252-3225
Mailing Address - Fax:406-259-9579
Practice Address - Street 1:235 MOORE LN
Practice Address - Street 2:SUITE 120
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-3446
Practice Address - Country:US
Practice Address - Phone:406-252-3225
Practice Address - Fax:406-259-9579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOL-14-22288261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTOL-14-22288OtherCITY OF BILLINGS