| Boulder Medical Clinic Inc | |
|
214 South Main Boulder MT 59632 | |
| (406) 225-4201 | |
| (406) 225-9161 |
| Full Name | Boulder Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 214 South Main, Boulder, Montana |
| Authorized Official Name and Position | Lee S Swanson (VICE PRESIDENT) |
| Authorized Official Contact | 4062254201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Medical Clinic Inc 214 South Main Boulder MT 59632-0028 Ph: (406) 225-4201 | Boulder Medical Clinic Inc 214 South Main Boulder MT 59632 Ph: (406) 225-4201 |
| NPI Number | 1043396054 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043396054 | NPI | - | NPPES |
| 720291 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St. James Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 S Main St, Boulder, MT 59632 Phone: 406-225-4201 | |
Boulder Clinic - Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 S Main St, Boulder, MT 59632 Phone: 406-225-4201 Fax: 406-225-9161 |