| |
420 North Cheyenne Avenue Lame Deer Health Center - Behavior Health Lame Deer MT 59043 | |
(406) 477-4514 | |
(406) 477-4513 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 420 North Cheyenne Avenue, Lame Deer, Montana |
Authorized Official Name and Position | Maria Roundstone (DIRECTOR OF REVENUE ENHANCEMENT) |
Authorized Official Contact | 4064776722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 128 600 Cheyenne Ave South Lame Deer MT 59043-0128 Ph: (406) 477-6722 | 420 North Cheyenne Avenue Lame Deer Health Center - Behavior Health Lame Deer MT 59043 Ph: (406) 477-4514 |
NPI Number | 1568716090 |
---|---|
Provider Enumeration Date | 11/06/2012 |
Last Update Date | 04/26/2024 |
Certification Date | 04/26/2024 |
Medicare PECOS PAC ID | 4981597275 |
---|---|
Medicare Enrollment ID | O20200527002468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568716090 | NPI | - | NPPES |
321061 | Medicaid | MT |