| Crazy Mountain Family Medicine | |
|
225 Big Timber Loop Rd Big Timber MT 59011-7646 | |
| (406) 932-7100 | |
| (406) 932-7102 |
| Full Name | Crazy Mountain Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Big Timber Loop Rd, Big Timber, Montana |
| Authorized Official Name and Position | Michelle Lizotte (OWNER AND PROVIDER) |
| Authorized Official Contact | 4066726082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crazy Mountain Family Medicine Po Box 978 Big Timber MT 59011-0978 Ph: (406) 932-7100 | Crazy Mountain Family Medicine 225 Big Timber Loop Rd Big Timber MT 59011-7646 Ph: (406) 932-7100 |
| NPI Number | 1497357529 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 03/19/2022 |
| Medicare PECOS PAC ID | 2264845965 |
|---|---|
| Medicare Enrollment ID | O20210118000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497357529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michelle Lizotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124388426 PECOS PAC ID: 1759522659 Enrollment ID: I20150918002365 |
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