| Bullhook Clinic | |
|
521 4th St Havre MT 59501-3649 | |
| (406) 395-4305 | |
| (406) 395-5643 |
| Full Name | Bullhook Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 4th St, Havre, Montana |
| Authorized Official Name and Position | Rozan Marie Kerr (PATIENT ACCOUNT MANAGER) |
| Authorized Official Contact | 4063956919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullhook Clinic 521 4th St Havre MT 59501-3649 Ph: (406) 395-4305 | Bullhook Clinic 521 4th St Havre MT 59501-3649 Ph: (406) 395-4305 |
| NPI Number | 1528258720 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 6204917610 |
|---|---|
| Medicare Enrollment ID | O20080111000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528258720 | NPI | - | NPPES |
| 613047800 | Other | DOL FECA |
| Provider Name | Dee A Althouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578776118 PECOS PAC ID: 1052205101 Enrollment ID: I20050128000769 |
| Provider Name | Kathryn Elaine Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033574991 PECOS PAC ID: 0749585578 Enrollment ID: I20160309000558 |
| Provider Name | Samantha J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396360129 PECOS PAC ID: 5991129314 Enrollment ID: I20200717002974 |
| Provider Name | William D Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457947988 PECOS PAC ID: 3173937455 Enrollment ID: I20210127002784 |
| Provider Name | Patrick Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753920 PECOS PAC ID: 5193132561 Enrollment ID: I20230510001388 |
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