| Bitterroot Health-corvallis | |
|
1037 Main Street Corvallis MT 59828-9374 | |
| (406) 961-4661 | |
| (406) 961-4260 |
| Full Name | Bitterroot Health-corvallis |
|---|---|
| Speciality | Clinic/Center |
| Location | 1037 Main Street, Corvallis, Montana |
| Authorized Official Name and Position | John C Bishop (CEO) |
| Authorized Official Contact | 4063632211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bitterroot Health-corvallis 1224 W Main Street Hamilton MT 59840-2338 Ph: (406) 375-4823 | Bitterroot Health-corvallis 1037 Main Street Corvallis MT 59828-9374 Ph: (406) 961-4661 |
| NPI Number | 1396832127 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 09/28/2021 |
| Medicare PECOS PAC ID | 5597664474 |
|---|---|
| Medicare Enrollment ID | O20100507000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832127 | NPI | - | NPPES |
| 1396832127 | Medicaid | MT | |
| 1396832127 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 12139 (Montana) | Primary |