| Shamrock Family Practice Llc | |
|
2000 Clark St Miles City MT 59301-2726 | |
| (406) 234-3824 | |
| (406) 234-1041 |
| Full Name | Shamrock Family Practice Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2000 Clark St, Miles City, Montana |
| Authorized Official Name and Position | Cathie S Henneberry (SOLE PROPRIETOR) |
| Authorized Official Contact | 4062348863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamrock Family Practice Llc Po Box 579 Miles City MT 59301-0579 Ph: (406) 234-3824 | Shamrock Family Practice Llc 2000 Clark St Miles City MT 59301-2726 Ph: (406) 234-3824 |
| NPI Number | 1518983360 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518983360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4771 (Montana) | Secondary |
| 363L00000X | Nurse Practitioner | RN26836 (Montana) | Primary |
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