| Community Medical Services Montana-private, Llc | |
|
1829 S Broadway Suite 1 Minot ND 58701-6571 | |
| (602) 248-8886 | |
| Not Available |
| Full Name | Community Medical Services Montana-private, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1829 S Broadway, Minot, North Dakota |
| Authorized Official Name and Position | Todd Stingley (CORPORATE CONTROLLER) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Services Montana-private, Llc 1829 S Broadway Suite 1 Minot ND 58701-6571 Ph: () - | Community Medical Services Montana-private, Llc 1829 S Broadway Suite 1 Minot ND 58701-6571 Ph: (602) 248-8886 |
| NPI Number | 1306247325 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306247325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9001 (North Dakota) | Primary |
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