Provider Demographics
NPI:1992465892
Name:MONTANA MOBILE HEALTH, CORP
Entity type:Organization
Organization Name:MONTANA MOBILE HEALTH, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, FNP, PNP
Authorized Official - Phone:406-426-2800
Mailing Address - Street 1:PO BOX 1082
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-1082
Mailing Address - Country:US
Mailing Address - Phone:406-426-2800
Mailing Address - Fax:
Practice Address - Street 1:265 HOLT DR UNIT 1082
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-3044
Practice Address - Country:US
Practice Address - Phone:406-426-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty