| Clark's Orthopedic & Medical, Inc. | |
|
816 9th St S Great Falls MT 59405-2136 | |
| (406) 452-8428 | |
| (406) 452-8741 |
| Full Name | Clark's Orthopedic & Medical, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 816 9th St S, Great Falls, Montana |
| Authorized Official Name and Position | Richard L. Clark (PRESIDENT) |
| Authorized Official Contact | 4064528428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark's Orthopedic & Medical, Inc. 816 9th St S Great Falls MT 59405-2136 Ph: (406) 452-8428 | Clark's Orthopedic & Medical, Inc. 816 9th St S Great Falls MT 59405-2136 Ph: (406) 452-8428 |
| NPI Number | 1952409906 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 7618094863 |
|---|---|
| Medicare Enrollment ID | O20100930000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952409906 | NPI | - | NPPES |
| 0519142 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | DOES NOT APPLY IN MT (Montana) | Primary |
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