Jack Lincoln Memorial Clinic | |
341 Hwy135 Saint Regis MT 59866-0176 | |
(406) 827-4307 | |
(406) 827-9514 |
Full Name | Jack Lincoln Memorial Clinic |
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Speciality | Clinic/Center |
Location | 341 Hwy135, Saint Regis, Montana |
Authorized Official Name and Position | Randy J Lovell (OFFICE MANAGER) |
Authorized Official Contact | 4068274307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jack Lincoln Memorial Clinic Po Box 176 Saint Regis MT 59866-0176 Ph: (406) 827-4307 | Jack Lincoln Memorial Clinic 341 Hwy135 Saint Regis MT 59866-0176 Ph: (406) 827-4307 |
NPI Number | 1811371917 |
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Provider Enumeration Date | 07/17/2015 |
Last Update Date | 06/19/2017 |
Medicare PECOS PAC ID | 2668780628 |
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Medicare Enrollment ID | O20150924003089 |
Identifier | Type | State | Issuer |
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1811371917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |