Provider Demographics
NPI:1427295757
Name:CARDIOVASCULAR CONSULTANTS OF MONTANA, PLLC
Entity type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF MONTANA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:YF
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-325-5555
Mailing Address - Street 1:1101 N 27TH ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0101
Mailing Address - Country:US
Mailing Address - Phone:406-325-5555
Mailing Address - Fax:406-325-5556
Practice Address - Street 1:1101 N 27TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0101
Practice Address - Country:US
Practice Address - Phone:406-325-5555
Practice Address - Fax:406-325-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11090207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000096098OtherBCBS
MT1427295757Medicaid
F84566Medicare UPIN
MT1427295757Medicaid