| Boulder Clinic - Family Medicine | |
|
214 S Main St Boulder MT 59632-7640 | |
| (406) 225-4201 | |
| (406) 225-9161 |
| Full Name | Boulder Clinic - Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 214 S Main St, Boulder, Montana |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE MEDICAL GROUP) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Clinic - Family Medicine 200 S Clark St Butte MT 59701-1500 Ph: () - | Boulder Clinic - Family Medicine 214 S Main St Boulder MT 59632-7640 Ph: (406) 225-4201 |
| NPI Number | 1861031122 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 2466633102 |
|---|---|
| Medicare Enrollment ID | O20220719003098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861031122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Boulder Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 South Main, Boulder, MT 59632 Phone: 406-225-4201 Fax: 406-225-9161 | |
St. James Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 S Main St, Boulder, MT 59632 Phone: 406-225-4201 |