| Downtown Health Care Clinic, Inc. | |
|
106 S 2nd St Hamilton MT 59840-2517 | |
| (406) 210-7284 | |
| (406) 363-7001 |
| Full Name | Downtown Health Care Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 106 S 2nd St, Hamilton, Montana |
| Authorized Official Name and Position | Susan Marie Reynolds (ARNP, FNP-BC) |
| Authorized Official Contact | 4063637003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Health Care Clinic, Inc. Po Box 1437 Hamilton MT 59840-1437 Ph: (406) 363-7003 | Downtown Health Care Clinic, Inc. 106 S 2nd St Hamilton MT 59840-2517 Ph: (406) 210-7284 |
| NPI Number | 1922698737 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 6305253584 |
|---|---|
| Medicare Enrollment ID | O20210406001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922698737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801889498 PECOS PAC ID: 5799672549 Enrollment ID: I20081111000333 |
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