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309 Elliot Street North Wilsall MT 59086-0347 | |
(406) 578-2580 | |
(406) 578-2582 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 309 Elliot Street North, Wilsall, Montana |
Authorized Official Name and Position | Bren Lowe (CEO) |
Authorized Official Contact | 4068236411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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320 Alpenglow Lane Livingston MT 59047 Ph: (406) 578-2580 | 309 Elliot Street North Wilsall MT 59086-0347 Ph: (406) 578-2580 |
NPI Number | 1841683588 |
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Provider Enumeration Date | 03/05/2015 |
Last Update Date | 01/03/2017 |
Identifier | Type | State | Issuer |
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1841683588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 12556 (Montana) | Primary |