| Foss Chiropractic PC | |
|
1021 Dakota Ave Libby MT 59923-2207 | |
| (406) 293-8736 | |
| (406) 293-8737 |
| Full Name | Foss Chiropractic PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Dakota Ave, Libby, Montana |
| Authorized Official Name and Position | Scott M Foss (OWNER/PRESIDENT) |
| Authorized Official Contact | 4062938736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foss Chiropractic PC Po Box 1528 Libby MT 59923-1528 Ph: (406) 293-8736 | Foss Chiropractic PC 1021 Dakota Ave Libby MT 59923-2207 Ph: (406) 293-8736 |
| NPI Number | 1710143540 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 09/09/2013 |
| Medicare PECOS PAC ID | 9830264811 |
|---|---|
| Medicare Enrollment ID | O20080827000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710143540 | NPI | - | NPPES |
| P00314059 | Other | MT | RAIL ROAD MEDICARE |
| 0000040643 | Other | MT | BLUE CROSS/ BLUE SHIELD |
| 0164798 | Medicaid | MT | |
| 612577600 | Other | MT | US DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Scott M Foss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215950464 PECOS PAC ID: 4587686274 Enrollment ID: I20051221001020 |
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