Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 100 Dewey Ave, Eureka, Montana |
Authorized Official Name and Position | Maria Clemons (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4062836919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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320 E 2nd St Libby MT 59923-2010 Ph: (406) 283-6900 | 100 Dewey Ave Eureka MT 59917 Ph: (406) 297-7220 |
NPI Number | 1568759249 |
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Provider Enumeration Date | 07/01/2011 |
Last Update Date | 10/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568759249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |