Hosanna Health Care, P.c. | |
1 Sunset Plz Kalispell MT 59901-3660 | |
(406) 755-7785 | |
(406) 755-7857 |
Full Name | Hosanna Health Care, P.c. |
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Speciality | Internal Medicine |
Location | 1 Sunset Plz, Kalispell, Montana |
Authorized Official Name and Position | Mary R Cochran (OFFICE MANAGER) |
Authorized Official Contact | 4067557785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hosanna Health Care, P.c. 1 Sunset Plz Kalispell MT 59901-3660 Ph: (406) 755-7785 | Hosanna Health Care, P.c. 1 Sunset Plz Kalispell MT 59901-3660 Ph: (406) 755-7785 |
NPI Number | 1629040316 |
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Provider Enumeration Date | 02/06/2006 |
Last Update Date | 12/28/2022 |
Medicare PECOS PAC ID | 4587656913 |
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Medicare Enrollment ID | O20040402000994 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629040316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 6869 (Montana) | Primary |
Provider Name | Ann M Bukacek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295707776 PECOS PAC ID: 4385636521 Enrollment ID: I20040330001550 |
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