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112 St. Labre Campus Drive Ashland MT 59003 | |
(406) 784-2346 | |
(406) 784-2711 |
Full Name | |
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Speciality | Clinic/Center |
Location | 112 St. Labre Campus Drive, Ashland, Montana |
Authorized Official Name and Position | David Mark (CEO) |
Authorized Official Contact | 4066654103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10 4th St W Hardin MT 59034-1802 Ph: (406) 784-2346 | 112 St. Labre Campus Drive Ashland MT 59003 Ph: (406) 784-2346 |
NPI Number | 1144680844 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 10/20/2023 |
Certification Date | 10/19/2023 |
Medicare PECOS PAC ID | 8820246077 |
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Medicare Enrollment ID | O20180117002298 |
Identifier | Type | State | Issuer |
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1144680844 | NPI | - | NPPES |