| Dahl Memorial Clinic | |
|
106 E Park St Ekalaka MT 59324-0046 | |
| (406) 775-8730 | |
| (406) 775-6479 |
| Full Name | Dahl Memorial Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 E Park St, Ekalaka, Montana |
| Authorized Official Name and Position | Ryan Tooke (CEO) |
| Authorized Official Contact | 4067758739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dahl Memorial Clinic Po Box 46 Ekalaka MT 59324-0046 Ph: (406) 775-8738 | Dahl Memorial Clinic 106 E Park St Ekalaka MT 59324-0046 Ph: (406) 775-8730 |
| NPI Number | 1700935368 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 1658323373 |
|---|---|
| Medicare Enrollment ID | O20080521000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700935368 | NPI | - | NPPES |
| 1700935368 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Montana) | Primary |
Public Health Carter County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 E Park St, Suite 1229, Ekalaka, MT 59324 Phone: 406-775-6332 Fax: 406-775-6242 |