| One Health-sweet/chinook | |
|
419 Pennsylvania St Chinook MT 59523-0309 | |
| (406) 357-2403 | |
| (406) 357-3252 |
| Full Name | One Health-sweet/chinook |
|---|---|
| Speciality | Clinic/Center |
| Location | 419 Pennsylvania St, Chinook, Montana |
| Authorized Official Name and Position | David Andrew 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 |
|---|---|
| One Health-sweet/chinook 10 4th St W Hardin MT 59034-1802 Ph: (406) 357-2403 | One Health-sweet/chinook 419 Pennsylvania St Chinook MT 59523-0309 Ph: (406) 357-2403 |
| NPI Number | 1619970795 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 8820246077 |
|---|---|
| Medicare Enrollment ID | O20190205002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619970795 | NPI | - | NPPES |
| 730354 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 9791 (Montana) | Primary |
Sweet Memorial Nursing Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Highway 2 West, Chinook, MT 59523 Phone: 406-357-2549 |