| Koinonia | |
|
109 1st Ave St Ignatius MT 59865-7748 | |
| (406) 641-7230 | |
| (406) 641-7231 |
| Full Name | Koinonia |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 109 1st Ave, St Ignatius, Montana |
| Authorized Official Name and Position | Julie Fleck (ADMINISTRATOR) |
| Authorized Official Contact | 4062708748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Po Box 1016 St Ignatius MT 59865-1016 Ph: (406) 641-7230 | Koinonia 109 1st Ave St Ignatius MT 59865-7748 Ph: (406) 641-7230 |
| NPI Number | 1699602532 |
|---|---|
| Provider Enumeration Date | 05/05/2026 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699602532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Ponderosa Healing Waters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 1st Ave, St Ignatius, MT 59865 Phone: 406-880-7305 |