Elder Tree Llc | |
303 Broadway St Townsend MT 59644-2223 | |
(406) 813-1559 | |
(406) 302-0901 |
Full Name | Elder Tree Llc |
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Speciality | Social Worker |
Location | 303 Broadway St, Townsend, Montana |
Authorized Official Name and Position | Aubrey Hancock (OWNER/MANAGER) |
Authorized Official Contact | 4068131559 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elder Tree Llc 132 S Oak St Townsend MT 59644-2604 Ph: (406) 813-1559 | Elder Tree Llc 303 Broadway St Townsend MT 59644-2223 Ph: (406) 813-1559 |
NPI Number | 1922881663 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 08/16/2023 |
Certification Date | 08/16/2023 |
Medicare PECOS PAC ID | 8123479615 |
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Medicare Enrollment ID | O20240109002991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922881663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Aubrey Hancock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659870764 PECOS PAC ID: 1850742347 Enrollment ID: I20240109003090 |
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