| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1208 6th Ave E, Superior, Montana |
| Authorized Official Name and Position | John S Mcneece (CEO) |
| Authorized Official Contact | 4068224841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 66 Superior MT 59872 Ph: (406) 822-4841 | 1208 6th Ave E Superior MT 59872 Ph: (406) 822-4841 |
| NPI Number | 1376637470 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 04/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376637470 | NPI | - | NPPES |
| 9989941 | Other | MT | PASSPORT PROVIDER NUMBER |
| 720460 | Medicaid | MT | |
| 0000066882 | Other | MT | BLUE CROSS BLUE SHEILD |
Mineral Regional Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 6th Ave, Superior, MT 59872 Phone: 406-822-4278 | |