Mercury Street Medical Group Pllc in Butte - Physician Assistant
Mercury Street Medical Group Pllc - NPI 1619054681
Mercury Street Medical Group Pllc is a Physician Assistant in Butte, Montana. Mercury Street Medical Group Pllc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mercury Street Medical Group Pllc is 1619054681. The last update date is 2012-05-18.
Mercury Street Medical Group Pllc's current location address is 300 W Mercury St, Butte, Montana. You can contact this provider via phone number 4067231300 and fax number 4067231335. The mailing address for Mercury Street Medical Group Pllc is 300 W Mercury St, Butte, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercury Street Medical Group Pllc |
|---|---|
| Address | 300 W Mercury St, Butte, Montana |
| Phone Number | 4067231300 |
| Fax Number | 4067231335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Butler G Scott |
| Telephone Number | 4067231300 |
NPI Number Detail
| NPI Number | 1619054681 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2012-05-18 |
Provider Mailing Address Detail
| Address | 300 W Mercury St |
|---|---|
| City | Butte |
| State | Montana (MT) |
| Post Code | 597011652 |
| Phone Number | 4067231300 |
| Fax Number | 4067231335 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1074257 |
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Definition: 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 perfor |
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What is the unique 10-digit identifier code issued to Mercury Street Medical Group Pllc by the Centers for Medicare & Medicaid Services?
The Mercury Street Medical Group Pllc has been assigned the NPI (National Provider Identifier) 1619054681 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mercury Street Medical Group Pllc located?
The Mercury Street Medical Group Pllc is located at 300 W Mercury St, Butte, MT 597011652.
What is the Mercury Street Medical Group Pllc's specialty and taxonomy code?
The Mercury Street Medical Group Pllc's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Mercury Street Medical Group Pllc receive its 1619054681 assignment from the Centers for Medicare & Medicaid Services?
The Mercury Street Medical Group Pllc was assigned its 1619054681 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mercury Street Medical Group Pllc most recently updated or revised?
The details related to Mercury Street Medical Group Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-18.