| One Health-glendive | |
|
1515 W Bell St Ste 15 Glendive MT 59330-3240 | |
| (406) 851-5831 | |
| (833) 314-0429 |
| Full Name | One Health-glendive |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 W Bell St Ste 15, Glendive, 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-glendive 10 4th St W Hardin MT 59034-1802 Ph: (406) 851-5831 | One Health-glendive 1515 W Bell St Ste 15 Glendive MT 59330-3240 Ph: (406) 851-5831 |
| NPI Number | 1609463934 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 8820246077 |
|---|---|
| Medicare Enrollment ID | O20201130001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609463934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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