| Open Door Wellness Center | |
|
2 5th St N Ste 204 Great Falls MT 59401-4011 | |
| (067) 508-2804 | |
| (406) 205-0700 |
| Full Name | Open Door Wellness Center |
|---|---|
| Speciality | General Practice |
| Location | 2 5th St N Ste 204, Great Falls, Montana |
| Authorized Official Name and Position | Melonie Parmley (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4067508280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Wellness Center 2 5th St N Ste 204 Great Falls MT 59401-4011 Ph: (406) 750-8280 | Open Door Wellness Center 2 5th St N Ste 204 Great Falls MT 59401-4011 Ph: (067) 508-2804 |
| NPI Number | 1164165569 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 1557725934 |
|---|---|
| Medicare Enrollment ID | O20230919001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164165569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Provider Name | Melonie Parmley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336426196 PECOS PAC ID: 4981847795 Enrollment ID: I20211117001452 |
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