| Gold Street Clinic | |
|
775 W Gold St Butte MT 59701-2319 | |
| (406) 782-9090 | |
| (406) 782-9191 |
| Full Name | Gold Street Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 775 W Gold St, Butte, Montana |
| Authorized Official Name and Position | Sharon Healy (OWNER) |
| Authorized Official Contact | 4067829090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Street Clinic 775 W Gold St Butte MT 59701-2319 Ph: (406) 782-9090 | Gold Street Clinic 775 W Gold St Butte MT 59701-2319 Ph: (406) 782-9090 |
| NPI Number | 1386622843 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386622843 | NPI | - | NPPES |
| 4301238 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RN14014 (Montana) | Primary |
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