| 406 Medtech Pllc | |
|
171 Heritage Way Kalispell MT 59901-3145 | |
| (406) 407-4606 | |
| Not Available |
| Full Name | 406 Medtech Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 171 Heritage Way, Kalispell, Montana |
| Authorized Official Name and Position | Jason Leep (OWNER/PROVIDER) |
| Authorized Official Contact | 4064074606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 406 Medtech Pllc 171 Heritage Way Kalispell MT 59901-3145 Ph: (406) 407-4606 | 406 Medtech Pllc 171 Heritage Way Kalispell MT 59901-3145 Ph: (406) 407-4606 |
| NPI Number | 1346917648 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8820486038 |
|---|---|
| Medicare Enrollment ID | O20211020002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346917648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason V Leep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811125818 PECOS PAC ID: 4284881186 Enrollment ID: I20180116001624 |
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