Full Name | |
---|---|
Speciality | Family Medicine |
Location | 10 S Oakes Ave, Red Lodge, Montana |
Authorized Official Name and Position | Connie F Prewitt (CFO) |
Authorized Official Contact | 4062382500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 35100 Billings MT 59107-5100 Ph: (406) 238-2500 | 10 S Oakes Ave Red Lodge MT 59068 Ph: (406) 446-2412 |
NPI Number | 1356385975 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 01/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356385975 | NPI | - | NPPES |
0415688 | Other | MT | MDCD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |