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3318 3rd Ave N Ste 200 Billings MT 59101-1900 | |
(406) 248-3149 | |
(406) 245-6636 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3318 3rd Ave N Ste 200, Billings, Montana |
Authorized Official Name and Position | Carol Townsend (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4062483149 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3318 3rd Ave N Ste 200 Billings MT 59101-1900 Ph: (406) 248-3149 | 3318 3rd Ave N Ste 200 Billings MT 59101-1900 Ph: (406) 248-3149 |
NPI Number | 1346299930 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 08/31/2020 |
Medicare PECOS PAC ID | 0648179531 |
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Medicare Enrollment ID | O20130508000589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346299930 | NPI | - | NPPES |
0730303 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Montana) | Primary |
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