| Thompson Falls Family Medicine | |
|
120 Pond St Thomspon Falls MT 59873 | |
| (406) 826-4921 | |
| (406) 826-4811 |
| Full Name | Thompson Falls Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Pond St, Thomspon Falls, Montana |
| Authorized Official Name and Position | Gregory S Hanson (PRESIDENT/CEO) |
| Authorized Official Contact | 4068264814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Falls Family Medicine 10 Kruger Rd Po Box 768 Plains MT 59859-9506 Ph: (408) 826-4921 | Thompson Falls Family Medicine 120 Pond St Thomspon Falls MT 59873 Ph: (406) 826-4921 |
| NPI Number | 1518074061 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 06/22/2016 |
| Medicare PECOS PAC ID | 4183691132 |
|---|---|
| Medicare Enrollment ID | O20060111000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518074061 | NPI | - | NPPES |
| 0721006 | Medicaid | MT | |
| 273979 | Other | MT | MEDICARE ID |
| 63202 | Other | MT | BLUE CROSS/MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 10608 (Montana) | Primary |