| Bellamah Vein & Surgery, Pllc | |
|
2975 Stockyard Rd Suite 200 & 201 Missoula MT 59808-1557 | |
| (513) 509-1706 | |
| Not Available |
| Full Name | Bellamah Vein & Surgery, Pllc |
|---|---|
| Speciality | Surgery |
| Location | 2975 Stockyard Rd, Missoula, Montana |
| Authorized Official Name and Position | David Howard Bellamah (OWNER) |
| Authorized Official Contact | 5135091706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellamah Vein & Surgery, Pllc 2975 Stockyard Rd Suite 200 Missoula MT 59808-1557 Ph: (513) 509-1706 | Bellamah Vein & Surgery, Pllc 2975 Stockyard Rd Suite 200 & 201 Missoula MT 59808-1557 Ph: (513) 509-1706 |
| NPI Number | 1427469725 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9032338033 |
|---|---|
| Medicare Enrollment ID | O20140923001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427469725 | NPI | - | NPPES |
| 9851 | Other | MT | MT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | David H Bellamah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760426647 PECOS PAC ID: 1658275862 Enrollment ID: I20031120000362 |
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