| Phc Seeley Lake | |
|
3050 Highway 83 North Seeley Lake MT 59868 | |
| (406) 258-4789 | |
| (406) 258-4180 |
| Full Name | Phc Seeley Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 3050 Highway 83 North, Seeley Lake, Montana |
| Authorized Official Name and Position | Laurie Francis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4062583360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phc Seeley Lake 323 W Alder St Missoula MT 59802-4123 Ph: (406) 258-4789 | Phc Seeley Lake 3050 Highway 83 North Seeley Lake MT 59868 Ph: (406) 258-4789 |
| NPI Number | 1083974661 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 6103843479 |
|---|---|
| Medicare Enrollment ID | O20140403002016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083974661 | NPI | - | NPPES |
| 1083974661 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |