Provider Demographics
NPI:1356516678
Name:DR DENISE C MEHIA MD
Entity type:Organization
Organization Name:DR DENISE C MEHIA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-259-2582
Mailing Address - Street 1:1111 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2529
Mailing Address - Country:US
Mailing Address - Phone:406-259-2582
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1111 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-2529
Practice Address - Country:US
Practice Address - Phone:406-259-2582
Practice Address - Fax:406-294-0967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4487207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000000831OtherBCBS
MT0107120Medicaid
MT0107120Medicaid