Provider Demographics
NPI:1548731151
Name:MHFM, LLC
Entity type:Organization
Organization Name:MHFM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-399-1764
Mailing Address - Street 1:527 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7071
Mailing Address - Country:US
Mailing Address - Phone:406-399-1764
Mailing Address - Fax:406-206-5100
Practice Address - Street 1:2110 OVERLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6447
Practice Address - Country:US
Practice Address - Phone:406-969-6310
Practice Address - Fax:406-206-5100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MHFM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty