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BADLANDS MEDICAL INC NPI 1114098837


NPI Information

NPI: 1114098837
Provider Name: BADLANDS MEDICAL INC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 27D2122230

Address:
332 LEAVITT AVE
JORDAN, MT
ZIP 59337
Phone: (406) 557-2819
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BADLANDS MEDICAL INC is a physician assistant in Jordan, MT. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. BADLANDS MEDICAL INC NPI is 1114098837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

332 LEAVITT AVE
JORDAN, MT
ZIP 59337
Phone: (406) 557-2819

The provider's authorized official is Paula Muniak .
The authorized official title is Vice President and has the following contact phone number (406) 557-2819.

The CLIA number assigned to this NPI record is 27D2122230 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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