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440 Rominger Ln Floweree MT 59440-9049 | |
| (406) 781-8260 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 440 Rominger Ln, Floweree, Montana |
| Authorized Official Name and Position | Ryan Austin Rominger (OWNER) |
| Authorized Official Contact | 4067818260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1095 Great Falls MT 59403-1095 Ph: (406) 781-8260 | 440 Rominger Ln Floweree MT 59440-9049 Ph: (406) 781-8260 |
| NPI Number | 1457947954 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Medicare PECOS PAC ID | 7113364431 |
|---|---|
| Medicare Enrollment ID | O20240322000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457947954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ryan Austin Rominger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104412600 PECOS PAC ID: 8022455344 Enrollment ID: I20240322000839 |