| Coordicare Inc | |
|
1223 Stetson Rd Helena MT 59602 | |
| (406) 594-1097 | |
| (406) 422-4262 |
| Full Name | Coordicare Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1223 Stetson Rd, Helena, Montana |
| Authorized Official Name and Position | Jonathan Griffin (NURSING HOME MEDICAL DIRECTOR) |
| Authorized Official Contact | 4065941097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coordicare Inc 1223 Stetson Rd Helena MT 59602 Ph: (406) 594-1097 | Coordicare Inc 1223 Stetson Rd Helena MT 59602 Ph: (406) 594-1097 |
| NPI Number | 1467824912 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467824912 | NPI | - | NPPES |
| 12731 | Other | MT | MT STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12731 (Montana) | Primary |
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