| South Hills Internal Medicine Associates Pllp | |
|
301 Saddle Dr Helena MT 59601-8098 | |
| (406) 442-2205 | |
| Not Available |
| Full Name | South Hills Internal Medicine Associates Pllp |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Saddle Dr, Helena, Montana |
| Authorized Official Name and Position | Jay Larson (OWNER) |
| Authorized Official Contact | 4064422205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hills Internal Medicine Associates Pllp 2525 Colonial Dr Suite D Helena MT 59601-4902 Ph: (406) 495-7260 | South Hills Internal Medicine Associates Pllp 301 Saddle Dr Helena MT 59601-8098 Ph: (406) 442-2205 |
| NPI Number | 1972550051 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628081817 |
|---|---|
| Medicare Enrollment ID | O20060710000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972550051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jay L Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588603666 PECOS PAC ID: 1254233729 Enrollment ID: I20040123001076 |
| Provider Name | Jean M Justad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487600581 PECOS PAC ID: 6901708239 Enrollment ID: I20040126000556 |
| Provider Name | Carey Phelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699230995 PECOS PAC ID: 0840530051 Enrollment ID: I20190326002918 |
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