| Confederated Salish And Kootenai Tribes Of The Flathead Reservation | |
|
35401 Mission Drive Saint Ignatius MT 59865-9676 | |
| (406) 745-3525 | |
| (406) 745-4721 |
| Full Name | Confederated Salish And Kootenai Tribes Of The Flathead Reservation |
|---|---|
| Speciality | Clinic/Center |
| Location | 35401 Mission Drive, Saint Ignatius, Montana |
| Authorized Official Name and Position | Joseph Durglo (CHAIRMAN) |
| Authorized Official Contact | 4066752700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Salish And Kootenai Tribes Of The Flathead Reservation Po Box 278 Pablo MT 59855-0278 Ph: (406) 675-2700 | Confederated Salish And Kootenai Tribes Of The Flathead Reservation 35401 Mission Drive Saint Ignatius MT 59865-9676 Ph: (406) 745-3525 |
| NPI Number | 1952402208 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 1355382433 |
|---|---|
| Medicare Enrollment ID | O20050518001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952402208 | NPI | - | NPPES |
| 2210104 | Medicaid | MT | |
| 2706438 | Other | NCPDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |