| Medicine Tree Primary Care Inc | |
|
318 E Kootenai Ave Troy MT 59935 | |
| (406) 295-5752 | |
| (406) 295-0314 |
| Full Name | Medicine Tree Primary Care Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 318 E Kootenai Ave, Troy, Montana |
| Authorized Official Name and Position | Connie Boyd (CEO/PRESIDIENT) |
| Authorized Official Contact | 4062955752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine Tree Primary Care Inc Po Box 3007 Troy MT 59935-3007 Ph: (406) 295-5752 | Medicine Tree Primary Care Inc 318 E Kootenai Ave Troy MT 59935 Ph: (406) 295-5752 |
| NPI Number | 1588834279 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 06/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588834279 | NPI | - | NPPES |
| 500024254 | Other | MT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D107540 (Montana) | Primary |
Northwest Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Sandalwood Court, Troy, MT 59935 Phone: 406-295-8318 Fax: 406-295-1041 |