| Jess Np Family Healthcare, Pllc | |
|
140 S Central Ave Malta MT 59538-0581 | |
| (406) 654-1953 | |
| (406) 654-5204 |
| Full Name | Jess Np Family Healthcare, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 S Central Ave, Malta, Montana |
| Authorized Official Name and Position | Jessica Marie Domire (OWNER) |
| Authorized Official Contact | 4066541953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jess Np Family Healthcare, Pllc Po Box 581 Malta MT 59538-0581 Ph: (406) 654-1953 | Jess Np Family Healthcare, Pllc 140 S Central Ave Malta MT 59538-0581 Ph: (406) 654-1953 |
| NPI Number | 1528738002 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 0244622215 |
|---|---|
| Medicare Enrollment ID | O20220125001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528738002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Jessica M Domire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293116 PECOS PAC ID: 3678802865 Enrollment ID: I20190913000614 |
Phillips County Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 Sth 8th Ave E, Malta, MT 59538 Phone: 406-654-1800 Fax: 406-654-1700 | |
Malta Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 South Central Ave, Malta, MT 59538 Phone: 406-654-2878 Fax: 406-654-2810 | |
Newbern Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 South Central Avenue, Malta, MT 59538 Phone: 406-654-1953 |