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410 Triple Crown St Rm A108 Belgrade MT 59714-3402 | |
(406) 388-3311 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 410 Triple Crown St Rm A108, Belgrade, Montana |
Authorized Official Name and Position | David Andrew Mark (CEO) |
Authorized Official Contact | 4066654103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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112 W Lewis St Livingston MT 59047-3011 Ph: (406) 823-6304 | 410 Triple Crown St Rm A108 Belgrade MT 59714-3402 Ph: (406) 388-3311 |
NPI Number | 1366049967 |
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Provider Enumeration Date | 10/06/2020 |
Last Update Date | 10/02/2024 |
Medicare PECOS PAC ID | 8820246077 |
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Medicare Enrollment ID | O20240917003282 |
Identifier | Type | State | Issuer |
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1366049967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
C G Kurtz Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8707 Jackrabbit Ln, Ste C, Belgrade, MT 59714 Phone: 406-388-5572 Fax: 406-388-5580 | |
Main Street Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 W Main St, Suite 225, Belgrade, MT 59714 Phone: 406-388-6151 | |
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