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115 S Kendrick Ave Glendive MT 59330-1626 | |
(406) 377-2101 | |
(406) 377-2108 |
Full Name | |
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Speciality | Clinic/Center |
Location | 115 S Kendrick Ave, Glendive, Montana |
Authorized Official Name and Position | Tracy L Gabbert (OWNER) |
Authorized Official Contact | 4063772101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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115 S Kendrick Ave Glendive MT 59330-1626 Ph: (406) 377-2101 | 115 S Kendrick Ave Glendive MT 59330-1626 Ph: (406) 377-2101 |
NPI Number | 1063931848 |
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Provider Enumeration Date | 09/13/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0244506467 |
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Medicare Enrollment ID | O20171016002271 |
Identifier | Type | State | Issuer |
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1063931848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 361 (Montana) | Primary |
Provider Name | Tracy L Gabbert |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518963057 PECOS PAC ID: 8921291329 Enrollment ID: I20101018001065 |
Plains Synergy Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Merrill Ave, Suite #24, Glendive, MT 59330 Phone: 406-377-1179 | |
Makoshika Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Bell St, Glendive, MT 59330 Phone: 406-359-1395 | |