BENEFIS HOSPITALS INC
Complete NPI Record 1780968974
Clinic/Center - Multi-Specialty in Great Falls, MT
Active since October 06, 2011
Complete NPI Dataset
This page contains the complete raw NPPES record for Benefis Hospitals Inc (NPI 1780968974), a clinic/center organization in Great Falls, MT. All 37 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1780968974 Field 1/37
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/37
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/37
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: BENEFIS HOSPITALS INC Field 4/37
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/37
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/37
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 6010 Field 7/37
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: GREAT FALLS Field 8/37
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MT Field 9/37
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 594066010 Field 10/37
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/37
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4064555000 Field 12/37
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 1401 25TH ST S Field 13/37
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: GREAT FALLS Field 14/37
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: MT Field 15/37
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 594055183 Field 16/37
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/37
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 4064555000 Field 18/37
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 4067318318 Field 19/37
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: HOULIHAN Field 22/37
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: BRUCE Field 23/37
- The first name of the authorized official.
- Authorized Official Middle Name: ERIC Field 24/37
- The middle name of the authorized official.
- Authorized Official Title or Position: SENIOR VP & SYSTEM CFO Field 25/37
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4064555479 Field 26/37
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 174400000X Field 27/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 28/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261QM1300X Field 29/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 30/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 011003889 Field 31/37
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 32/37
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: MT Field 33/37
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: MEDICARE PTAN # FOR PART B PHYSICIAN SERVICES Field 34/37
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Organization Subpart: N Field 35/37
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 36/37
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Benefis Medical Group Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 25
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1645 Vandelay Ave Ste 103
Location 1/25Helena, MT 59601-3929 · Phone (406) 455-5000
500 15th Ave S
Location 2/25Great Falls, MT 59405-4324 · Phone (406) 455-5000 · Fax (406) 731-8318
1645 Vandelay Ave Ste 303
Location 3/25Helena, MT 59601-3929 · Phone (406) 455-5000
1301 11th Ave S Ste 6
Location 4/25Great Falls, MT 59405-4654 · Phone (406) 731-8888 · Fax (406) 731-8318
1645 Vandelay Ave Ste 201
Location 5/25Helena, MT 59601-3929 · Phone (406) 455-5000
2720 10th Ave S Fl 3
Location 6/25Great Falls, MT 59405-3240 · Phone (406) 731-8394 · Fax (406) 731-8318
1300 28th St S Fl 2
Location 7/25Great Falls, MT 59405-5296 · Phone (406) 455-4320 · Fax (406) 455-4977
1645 Vandelay Ave
Location 8/25Helena, MT 59601-3929 · Phone (406) 455-5000
25 14th Ave NW
Location 9/25Great Falls, MT 59404-1954 · Phone (406) 455-5000
1117 29th St S
Location 10/25Great Falls, MT 59405-5306 · Phone (406) 731-8200 · Fax (406) 731-8100
1300 28th St S Ste 2
Location 11/25Great Falls, MT 59405-5296 · Phone (406) 731-2362 · Fax (406) 455-5035
1645 Vandelay Ave Ste 302
Location 12/25Helena, MT 59601-3929 · Phone (406) 731-8888
1101 26th St S
Location 13/25Great Falls, MT 59405-5161 · Phone (406) 455-5000
1300 28th St S Ste 9A
Location 14/25Great Falls, MT 59405-5296 · Phone (406) 455-4300 · Fax (406) 455-4301
400 13th Ave S Ste 102
Location 15/25Great Falls, MT 59405-4300 · Phone (406) 455-5000
400 13th Ave S Ste 206
Location 16/25Great Falls, MT 59405-4300 · Phone (406) 731-8888 · Fax (406) 731-8318
2720 10th Ave S Fl 2
Location 17/25Great Falls, MT 59405-3240 · Phone (406) 731-8865 · Fax (406) 731-8874
1645 Vandelay Ave Ste 301
Location 18/25Helena, MT 59601-3929 · Phone (406) 455-5000
400 15th Ave S Ste 205
Location 19/25Great Falls, MT 59405-4375 · Phone (406) 455-2760 · Fax (406) 455-2769
1645 Vandelay Ave Ste 104
Location 20/25Helena, MT 59601-3929 · Phone (406) 455-5000
2720 10th Ave S Fl 13
Location 21/25Great Falls, MT 59405-3240 · Phone (406) 731-8394 · Fax (406) 731-8318
400 15th Ave S Ste 202
Location 22/25Great Falls, MT 59405-4375 · Phone (406) 455-2760 · Fax (406) 455-2769
1300 28th St S Ste 4
Location 23/25Great Falls, MT 59405-5296 · Phone (406) 455-5000
400 13th Ave S Ste 101
Location 24/25Great Falls, MT 59405-4300 · Phone (406) 455-2821 · Fax (406) 455-2824
1417 9th Ave S Ste 102
Location 25/25Great Falls, MT 59405-2609 · Phone (406) 455-5000
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
011003889 Other
Identifier 1/1State: MT · Issuer: Medicare Ptan # For Part B Physician Services
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
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