| One Health - West Yellowstone | |
|
440 Yellowstone Ave Ste A West Yellowstone MT 59758-9507 | |
| (406) 656-9441 | |
| (406) 646-9460 |
| Full Name | One Health - West Yellowstone |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 Yellowstone Ave Ste A, West Yellowstone, 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 |
|---|---|
| One Health - West Yellowstone 112 W Lewis St Livingston MT 59047-3011 Ph: (406) 823-6304 | One Health - West Yellowstone 440 Yellowstone Ave Ste A West Yellowstone MT 59758-9507 Ph: (406) 656-9441 |
| NPI Number | 1699085720 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 5799681482 |
|---|---|
| Medicare Enrollment ID | O20110328000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699085720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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