| |
1518 Chouteau St Fort Benton MT 59442-9003 | |
(406) 622-5485 | |
(406) 622-5670 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1518 Chouteau St, Fort Benton, Montana |
Authorized Official Name and Position | Janice Woodhouse (COO) |
Authorized Official Contact | 4066223331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 249 Fort Benton MT 59442-0249 Ph: (406) 622-5485 | 1518 Chouteau St Fort Benton MT 59442-9003 Ph: (406) 622-5485 |
NPI Number | 1407989593 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 09/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407989593 | NPI | - | NPPES |
720174 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |