Basic Information
| Provider Information | |||||||||
| NPI: | 1740341189 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOBBS | ||||||||
| FirstName: | ELEANORE | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 126 6TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | RONAN | ||||||||
| State: | MT | ||||||||
| PostalCode: | 598642600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066764441 | ||||||||
| FaxNumber: | 4066760835 | ||||||||
| Practice Location | |||||||||
| Address1: | 126 6TH AVE. SW | ||||||||
| Address2: | ST. LUKE COMMUNITY CLINCI RONAN | ||||||||
| City: | RONAN | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59864 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066764441 | ||||||||
| FaxNumber: | 4066760835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 10/26/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 8731 | MT | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | 214892-1 | NY | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 0035321 | 05 | MT | MEDICAID |