| Two Rivers Wellness | |
|
2911 Wilson St Miles City MT 59301-5722 | |
| (406) 234-2929 | |
| (406) 234-2928 |
| Full Name | Two Rivers Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2911 Wilson St, Miles City, Montana |
| Authorized Official Name and Position | Laura L. Wetherelt (FNP-C, PMHNP-BC) |
| Authorized Official Contact | 4062342929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Wellness 1552 Cartersville Rd Rosebud MT 59347-9522 Ph: (406) 351-2196 | Two Rivers Wellness 2911 Wilson St Miles City MT 59301-5722 Ph: (406) 234-2929 |
| NPI Number | 1013543347 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 8123445434 |
|---|---|
| Medicare Enrollment ID | O20200901003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013543347 | NPI | - | NPPES |
| 4307966 | Medicaid | MT |
| Provider Name | Laura Wetherelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641052 PECOS PAC ID: 0648219956 Enrollment ID: I20060418000714 |
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