Basic Information
| Provider Information | |||||||||
| NPI: | 1841235405 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOVEY | ||||||||
| FirstName: | BART | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1540 | ||||||||
| Address2: | |||||||||
| City: | HAVRE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 595011540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062655827 | ||||||||
| FaxNumber: | 4062655949 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 13TH ST | ||||||||
| Address2: | |||||||||
| City: | HAVRE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 595015222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062652211 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 08/20/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 11003 | MT | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 0154947 | 05 | MT | MEDICAID |