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107 Dilworth St Glendive MT 59330-2053 | |
(406) 345-8901 | |
(406) 345-8908 |
Full Name | |
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Speciality | Clinic/Center |
Location | 107 Dilworth St, Glendive, Montana |
Authorized Official Name and Position | William Robinson (VP OF FINANCIAL SERVICES) |
Authorized Official Contact | 4063458924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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107 Dilworth St Glendive MT 59330-2053 Ph: (406) 345-8901 | 107 Dilworth St Glendive MT 59330-2053 Ph: (406) 345-8901 |
NPI Number | 1215040449 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 03/04/2021 |
Medicare PECOS PAC ID | 7214846823 |
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Medicare Enrollment ID | O20101207001239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215040449 | NPI | - | NPPES |
0720562 | Medicaid | MT | |
8882 | Other | MT | BLUE CROSS RHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |