Partnership Health Center Inc | |
1720 Wyoming St Ste 201 Missoula MT 59801-1526 | |
(406) 258-4789 | |
(406) 258-4732 |
Full Name | Partnership Health Center Inc |
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Speciality | Clinic/Center |
Location | 1720 Wyoming St Ste 201, Missoula, Montana |
Authorized Official Name and Position | Bryan Chalmers (CFO) |
Authorized Official Contact | 4062584445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Partnership Health Center Inc 401 Railroad St W Missoula MT 59802-4109 Ph: (406) 258-4789 | Partnership Health Center Inc 1720 Wyoming St Ste 201 Missoula MT 59801-1526 Ph: (406) 258-4789 |
NPI Number | 1669081931 |
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Provider Enumeration Date | 07/23/2020 |
Last Update Date | 08/11/2020 |
Medicare PECOS PAC ID | 6103843479 |
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Medicare Enrollment ID | O20211209001534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669081931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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