| Bates Family Diversified, Llc | |
|
16 Railway Ave Three Forks MT 59752-9080 | |
| (406) 285-3251 | |
| (406) 285-6742 |
| Full Name | Bates Family Diversified, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Railway Ave, Three Forks, Montana |
| Authorized Official Name and Position | Cynthia A Bates (OWNER) |
| Authorized Official Contact | 4062853251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bates Family Diversified, Llc 16 Railway Ave Three Forks MT 59752-9080 Ph: (406) 285-3251 | Bates Family Diversified, Llc 16 Railway Ave Three Forks MT 59752-9080 Ph: (406) 285-3251 |
| NPI Number | 1003466822 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 08/14/2020 |
| Medicare PECOS PAC ID | 6406288547 |
|---|---|
| Medicare Enrollment ID | O20191112001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003466822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chiro-kinetics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Main St, Three Forks, MT 59752 Phone: 406-570-6368 | |
Three Rivers Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Railway Ave, Three Forks, MT 59752 Phone: 406-285-3251 Fax: 406-285-6742 |