| Family Medicine Center Of The Bitterroot, P.c. | |
|
330 N 10th St Suite A Hamilton MT 59840-2319 | |
| (406) 363-3627 | |
| (406) 363-3638 |
| Full Name | Family Medicine Center Of The Bitterroot, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 N 10th St, Hamilton, Montana |
| Authorized Official Name and Position | Craig S Myers (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4063633627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center Of The Bitterroot, P.c. 330 N 10th St Suite A Hamilton MT 59840-2319 Ph: (406) 363-3627 | Family Medicine Center Of The Bitterroot, P.c. 330 N 10th St Suite A Hamilton MT 59840-2319 Ph: (406) 363-3627 |
| NPI Number | 1083727374 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 7214928415 |
|---|---|
| Medicare Enrollment ID | O20040518001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727374 | NPI | - | NPPES |
| 27D1025693 | Other | MT | CLIA # |
| 9970670 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Brenda G Kirkland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780623181 PECOS PAC ID: 6608777982 Enrollment ID: I20040119000786 |
| Provider Name | Randy L Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770544322 PECOS PAC ID: 0749271971 Enrollment ID: I20040602000479 |
| Provider Name | Harvard Brett Heath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811958523 PECOS PAC ID: 5395736516 Enrollment ID: I20040602000564 |
| Provider Name | Nicolett M Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003076639 PECOS PAC ID: 6709959976 Enrollment ID: I20080721000773 |
| Provider Name | Daniel F Child |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801233887 PECOS PAC ID: 4486895430 Enrollment ID: I20200227001047 |
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