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26 East Broad St Drummond MT 59832-0312 | |
(406) 288-3627 | |
(406) 288-3541 |
Full Name | |
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Speciality | Clinic/Center |
Location | 26 East Broad St, Drummond, Montana |
Authorized Official Name and Position | Jeffrey L Prater (C E O) |
Authorized Official Contact | 4068593271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 729 310 Sansome St Philipsburg MT 59858-0729 Ph: (406) 859-3271 | 26 East Broad St Drummond MT 59832-0312 Ph: (406) 288-3627 |
NPI Number | 1942321120 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 09/21/2011 |
Medicare PECOS PAC ID | 3678480423 |
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Medicare Enrollment ID | O20020917000014 |
Identifier | Type | State | Issuer |
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1942321120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 10614 (Montana) | Primary |