| |
305 W Pennsylvania Ave Anaconda MT 59711-1900 | |
(406) 563-8528 | |
(406) 563-8694 |
Full Name | |
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Speciality | Family Medicine |
Location | 305 W Pennsylvania Ave, Anaconda, Montana |
Authorized Official Name and Position | Alice R Cortright (DEPT DIRECTOR) |
Authorized Official Contact | 4065638528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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401 W Pennsylvania Ave Anaconda MT 59711-1931 Ph: (406) 563-8528 | 305 W Pennsylvania Ave Anaconda MT 59711-1900 Ph: (406) 563-8528 |
NPI Number | 1336244797 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 11/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336244797 | NPI | - | NPPES |
10442 | Other | MT | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northwest Ehr Collaborative Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 E Park Ave, Anaconda, MT 59711 Phone: 406-563-7962 Fax: 406-563-7180 | |
Western Montana Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Pennsylvania St, Anaconda, MT 59711 Phone: 406-721-5600 | |