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304 4th Ave. E Superior MT 59872-0622 | |
| (406) 822-5422 | |
| (406) 822-0786 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 304 4th Ave. E, Superior, Montana |
| Authorized Official Name and Position | Nancy Marie Smith (OWNER) |
| Authorized Official Contact | 4068225422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 622 304 4th Ave. E Superior MT 59872-0622 Ph: (406) 822-5422 | 304 4th Ave. E Superior MT 59872-0622 Ph: (406) 822-5422 |
| NPI Number | 1245558840 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 0143461608 |
|---|---|
| Medicare Enrollment ID | O20130725000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245558840 | NPI | - | NPPES |
| 0503183 | Medicaid | MT |
| Provider Name | Nancy M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740350461 PECOS PAC ID: 9638066194 Enrollment ID: I20040301000826 |
Masc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 491 Shaw Gulch Lane, Superior, MT 59872 Phone: 406-304-6371 |