| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TARA BLOCK | 1538656913 | 2024-04-05 |
Tara Block is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538656913. Registration indicates Tara Block is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Hospitalist) (Hospitalist, ) (All Other Specialties & Provider Types, ) (Hospitalist, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Tara Block MD |
| Practice Office Address | 1101 26TH ST S GREAT FALLS, MT US |
| Practice Office Telephone | 4064555000 |
| Practice Office Fax | 4067318318 |
| Mailing Address | 1401 25TH ST S BMG ADMIN GREAT FALLS, MT 594055161 US |
| Business Telephone | 4067318888 |
| Business Fax | 4067318876 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 500 W Fort St # 111R | Boise, ID 83702 | 2084221314 / 2084221388 |
| Direct Messaging Address [] | [email protected] | Benefis Hospitals Inc |
| Direct Messaging Address [] | [email protected] | Benefis Hospitals Inc |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | MRM-1709
ID |
| 208M00000X PRIMARY | Allopathic & Osteopathic Physicians Hospitalist Hospitalist All Other Specialties & Provider Types Hospitalist Allopathic & Osteopathic Physicians | 91878
MT |