Western Montana Clinic Pc | |
11350 Us Highway 93 S Lolo Family Practice Lolo MT 59847-9689 | |
(406) 273-0045 | |
Not Available |
Full Name | Western Montana Clinic Pc |
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Speciality | Clinic/center - Multi-specialty |
Location | 11350 Us Highway 93 S, Lolo, Montana |
Authorized Official Name and Position | Joyce E Stevens (DIRECTOR ANCILLARY & SATELLITE SERV) |
Authorized Official Contact | 4067215600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Montana Clinic Pc Po Box 7609 Missoula MT 59807-7609 Ph: (406) 721-5600 | Western Montana Clinic Pc 11350 Us Highway 93 S Lolo Family Practice Lolo MT 59847-9689 Ph: (406) 273-0045 |
NPI Number | 1366761686 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 05/26/2010 |
Identifier | Type | State | Issuer |
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1366761686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Ag Worker Health & Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9801 Valley Grove Dr, D, Lolo, MT 59847 Phone: 406-273-4633 Fax: 406-273-4707 |