| Bigfork Medical Clinic, Pc | |
|
8299 Mt Highway 35 Bigfork MT 59911-3583 | |
| (406) 837-5541 | |
| (406) 837-5543 |
| Full Name | Bigfork Medical Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8299 Mt Highway 35, Bigfork, Montana |
| Authorized Official Name and Position | Thomas G Jenko (PRESIDENT) |
| Authorized Official Contact | 4068375541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bigfork Medical Clinic, Pc 8299 Mt Highway 35 Bigfork MT 59911-3583 Ph: (406) 837-5541 | Bigfork Medical Clinic, Pc 8299 Mt Highway 35 Bigfork MT 59911-3583 Ph: (406) 837-5541 |
| NPI Number | 1871716936 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871716936 | NPI | - | NPPES |
| 0149345 | Medicaid | MT | |
| 16140 | Other | MT | BLUESHIELD OF MONTANA |
| 92136 | Other | MT | BLUESHIELD OF MONTANA |
| 0067171 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4682 (Montana) | Primary |
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