Main Street Medical | |
907 Main Street Thompson Falls MT 59873-0969 | |
(406) 827-4307 | |
(406) 827-9514 |
Full Name | Main Street Medical |
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Speciality | Clinic/Center |
Location | 907 Main Street, Thompson Falls, Montana |
Authorized Official Name and Position | Angela M Frank (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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Main Street Medical Po Box 969 Thompson Falls MT 59873-0969 Ph: (406) 827-4307 | Main Street Medical 907 Main Street Thompson Falls MT 59873-0969 Ph: (406) 827-4307 |
NPI Number | 1013172675 |
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Provider Enumeration Date | 07/23/2008 |
Last Update Date | 04/24/2013 |
Medicare PECOS PAC ID | 2769479823 |
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Medicare Enrollment ID | O20080117000042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013172675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Main Street Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 Main Street, Thompson Falls, MT 59873 Phone: 406-827-4307 |