River Gates Nephrology, Pc in Helena - Specialist

River Gates Nephrology, Pc - NPI 1669652087

River Gates Nephrology, Pc is a Specialist in Helena, Montana. River Gates Nephrology, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for River Gates Nephrology, Pc is 1669652087. The last update date is 2013-01-23.

River Gates Nephrology, Pc's current location address is 2525 E Broadway St Ste 202a, Helena, Montana. You can contact this provider via phone number 4064574280 and fax number 4064574278. The mailing address for River Gates Nephrology, Pc is 2525 E Broadway St Ste 202a, Helena, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization River Gates Nephrology, Pc
Address 2525 E Broadway St Ste 202a, Helena, Montana
Phone Number 4064574280
Fax Number 4064574278
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pincomb A Gwendolyn
Credentials MD
Telephone Number 4064574280

NPI Number Detail

NPI Number 1669652087
Provider Enumeration Date 2007-11-14
Last Updated Date 2013-01-23

Provider Mailing Address Detail

Address 2525 E Broadway St Ste 202a
City Helena
State Montana (MT)
Post Code 596018049
Phone Number 4064574280
Fax Number 4064574278

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 10181
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83896 MT MEDICARE INDIVIDUAL
73355 MT --

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FAQs about River Gates Nephrology, Pc

What is the River Gates Nephrology, Pc's 1669652087?

The River Gates Nephrology, Pc's NPI (National Provider Identifier) Number is 1669652087. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where River Gates Nephrology, Pc is located?

The River Gates Nephrology, Pc is situated at the following address: 2525 E Broadway St Ste 202A, Helena, MT, 596018049.

What is the area of specialization for River Gates Nephrology, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for River Gates Nephrology, Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the River Gates Nephrology, Pc receive the assignment of its 1669652087 from the Centers for Medicare & Medicaid Services?

The River Gates Nephrology, Pc was issued its 1669652087 by the Centers for Medicare & Medicaid Services on 2007-11-14.

As of what date were the details related to River Gates Nephrology, Pc most recently updated or revised?

The information pertaining to River Gates Nephrology, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-23.

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