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2386 Us Highway 93 N Victor MT 59875 | |
(406) 375-2990 | |
(406) 375-2994 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2386 Us Highway 93 N, Victor, Montana |
Authorized Official Name and Position | John C Bishop (C.E.O.) |
Authorized Official Contact | 4063632211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1224 W Main St Hamilton MT 59840-2338 Ph: (406) 375-4823 | 2386 Us Highway 93 N Victor MT 59875 Ph: (406) 375-2990 |
NPI Number | 1962949982 |
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Provider Enumeration Date | 01/28/2017 |
Last Update Date | 09/28/2021 |
Medicare PECOS PAC ID | 5597664474 |
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Medicare Enrollment ID | O20180105000031 |
Identifier | Type | State | Issuer |
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1962949982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |