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10 S Oakes Ave Red Lodge MT 59068-5500 | |
(406) 446-9941 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 10 S Oakes Ave, Red Lodge, Montana |
Authorized Official Name and Position | Cindy Swan (MEDICAL DIRECTOR) |
Authorized Official Contact | 4064268016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2289 Red Lodge MT 59068-2289 Ph: (406) 446-9941 | 10 S Oakes Ave Red Lodge MT 59068-5500 Ph: (406) 446-9941 |
NPI Number | 1942968300 |
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Provider Enumeration Date | 12/02/2021 |
Last Update Date | 12/15/2021 |
Medicare PECOS PAC ID | 7214320951 |
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Medicare Enrollment ID | O20220202000340 |
Identifier | Type | State | Issuer |
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1942968300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Provider Name | Cindy H Swan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922677533 PECOS PAC ID: 3375949621 Enrollment ID: I20210910002850 |