| Joan Fitzgerald, Pc | |
|
48 Medical Park Dr Helena MT 59601-4925 | |
| (406) 449-3880 | |
| Not Available |
| Full Name | Joan Fitzgerald, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 48 Medical Park Dr, Helena, Montana |
| Authorized Official Name and Position | Joan Fitzgerald (PRESIDENT) |
| Authorized Official Contact | 4064493880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Fitzgerald, Pc 48 Medical Park Dr Helena MT 59601-4925 Ph: (406) 449-3880 | Joan Fitzgerald, Pc 48 Medical Park Dr Helena MT 59601-4925 Ph: (406) 449-3880 |
| NPI Number | 1578706487 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/08/2009 |
| Medicare PECOS PAC ID | 6800876491 |
|---|---|
| Medicare Enrollment ID | O20091203000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578706487 | NPI | - | NPPES |
| 502095 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 238 (Montana) | Primary |
| Provider Name | Joan Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235274531 PECOS PAC ID: 4385624980 Enrollment ID: I20091203000184 |
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