| Fort Peck Tribes | |
|
215 15th Ave Brockton MT 59213 | |
| (406) 768-3202 | |
| Not Available |
| Full Name | Fort Peck Tribes |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 215 15th Ave, Brockton, Montana |
| Authorized Official Name and Position | Dennis Four Bear (TRIBAL HEALTH SERVICE UNIT DIRECTOR) |
| Authorized Official Contact | 4067683491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Peck Tribes Po Box 1027 Poplar MT 59255-1027 Ph: (406) 768-2202 | Fort Peck Tribes 215 15th Ave Brockton MT 59213 Ph: (406) 768-3202 |
| NPI Number | 1548070394 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548070394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |