| |
300 College Dr Glendive MT 59330-1405 | |
(406) 377-9410 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 300 College Dr, Glendive, Montana |
Authorized Official Name and Position | David Andrew Mark (CEO) |
Authorized Official Contact | 4066654103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 4th St W Hardin MT 59034-1802 Ph: (406) 665-4103 | 300 College Dr Glendive MT 59330-1405 Ph: (406) 377-9410 |
NPI Number | 1912655028 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 05/16/2022 |
Identifier | Type | State | Issuer |
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1912655028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Plains Synergy Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Merrill Ave, Suite #24, Glendive, MT 59330 Phone: 406-377-1179 | |
Makoshika Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Bell St, Glendive, MT 59330 Phone: 406-359-1395 | |