Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1035 1st Ave, Laurel, Montana |
Authorized Official Name and Position | Pam Palagi (VP FINANCE) |
Authorized Official Contact | 4067232414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1035 1st Ave Laurel MT 59044-2119 Ph: (406) 628-6311 | 1035 1st Ave Laurel MT 59044-2119 Ph: (406) 628-6311 |
NPI Number | 1124069687 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 11/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124069687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 9717 (Montana) | Primary |