| Great Falls Clinic | |
|
124 Main Avenue North Choteau MT 59422-9410 | |
| (406) 466-5255 | |
| (406) 466-5256 |
| Full Name | Great Falls Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 124 Main Avenue North, Choteau, Montana |
| Authorized Official Name and Position | Martin H Sinclair (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 4064542171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Falls Clinic 1400 29th St S Great Falls MT 59405-5353 Ph: (406) 454-2141 | Great Falls Clinic 124 Main Avenue North Choteau MT 59422-9410 Ph: (406) 466-5255 |
| NPI Number | 1073781548 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073781548 | NPI | - | NPPES |
| 0720341 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pondera Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 1st St Ne, Choteau, MT 59422 Phone: 406-271-3211 Fax: 406-271-3917 |