Phc Willard | |
901 S 6th St W Missoula MT 59801-3752 | |
(406) 258-4122 | |
(406) 258-4732 |
Full Name | Phc Willard |
---|---|
Speciality | Clinic/Center |
Location | 901 S 6th St W, Missoula, Montana |
Authorized Official Name and Position | Laurie Francis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4062583360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phc Willard 401 Railroad St W Missoula MT 59802-4109 Ph: (406) 728-2400 | Phc Willard 901 S 6th St W Missoula MT 59801-3752 Ph: (406) 258-4122 |
NPI Number | 1750926762 |
---|---|
Provider Enumeration Date | 11/13/2019 |
Last Update Date | 10/31/2022 |
Medicare PECOS PAC ID | 6103843479 |
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Medicare Enrollment ID | O20200115001622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750926762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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