Full Name | |
---|---|
Speciality | Clinic/center - Community Health |
Location | 19 1st St Ne, Choteau, Montana |
Authorized Official Name and Position | Mark Jones (C.O.O.) |
Authorized Official Contact | 4062713211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 758 Conrad MT 59425-0758 Ph: (406) 271-3211 | 19 1st St Ne Choteau MT 59422 Ph: (406) 271-3211 |
NPI Number | 1326138579 |
---|---|
Provider Enumeration Date | 10/16/2006 |
Last Update Date | 11/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326138579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |