Prairie County Clinic is a medicare enrolled primary clinic (General Acute Care Hospital - Critical Access) in Terry, Montana. The current practice location for Prairie County Clinic is 312 South Adams Avenue, Terry, Montana. For appointments, you can reach them via phone at
(406) 635-5511. The mailing address for Prairie County Clinic is Po Box 156, Terry, Montana and phone number is (406) 635-5511.
Prairie County Clinic is licensed to practice in Montana (license number 10125). The clinic also participates in the medicare program and its
NPI number is 1760489272. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(406) 635-5511.
Primary Care Clinic Profile
| Full Name | Prairie County Clinic |
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| Speciality | General Acute Care Hospital |
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| Location | 312 South Adams Avenue, Terry, Montana |
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| Authorized Official Name and Position | Johnna Marie Deloach (PROVIDER RELATIONS) |
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| Authorized Official Contact | 4066355863 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Prairie County Clinic
Po Box 156
Terry
MT 59349-0156
Ph: (406) 635-5511 | Prairie County Clinic
312 South Adams Avenue
Terry
MT 59349-0156
Ph: (406) 635-5511 |
NPI Details:
| NPI Number | 1760489272 |
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| Provider Enumeration Date | 06/30/2005 |
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| Last Update Date | 10/18/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3173501731 |
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| Medicare Enrollment ID | O20040709001087 |
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Medical Identifiers
Medical identifiers for Prairie County Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760489272 | NPI | - | NPPES |
| 313456 | Medicaid | MT | |
| 0720551 | Medicaid | MT | |
| 4105777 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 275N00000X | Medicare Defined Swing Bed Unit | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 10125 (Montana) | Primary |
| 314000000X | Skilled Nursing Facility | 10124 (Montana) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Prairie County Clinic acts as a billing entity for following providers:
| Provider Name | Christine E Drivdahl-smith |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1033205687
PECOS PAC ID: 3375437692
Enrollment ID: I20040209000985 |
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| Provider Name | Laura R Fuhrman |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1487023990
PECOS PAC ID: 3375852254
Enrollment ID: I20151015000628 |
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