Provider Demographics
NPI:1952700049
Name:UNIVERSAL HEALTH CONNECTION
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-431-7332
Mailing Address - Street 1:900 N MONTANA AVE STE B9
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3845
Mailing Address - Country:US
Mailing Address - Phone:406-431-7332
Mailing Address - Fax:406-996-1823
Practice Address - Street 1:900 N MONTANA AVE STE B9
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3845
Practice Address - Country:US
Practice Address - Phone:406-431-7332
Practice Address - Fax:406-996-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-18568225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty