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102 13th Ave E Polson MT 59860-3513 | |
(406) 751-5311 | |
(406) 257-2010 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 102 13th Ave E, Polson, Montana |
Authorized Official Name and Position | Velinda J Stevens (CEO/PRESIDENT) |
Authorized Official Contact | 4067521724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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102 13th Ave E Polson MT 59860-3513 Ph: () - | 102 13th Ave E Polson MT 59860-3513 Ph: (406) 751-5311 |
NPI Number | 1356667216 |
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Provider Enumeration Date | 04/15/2010 |
Last Update Date | 04/15/2010 |
Identifier | Type | State | Issuer |
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1356667216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Wholeness In Health House-call Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37926 Mt Highway 35, Polson, MT 59860 Phone: 406-261-5019 Fax: 406-883-6465 | |