Lame Deer Health Center | |
100 Cheyenne Avenue Lame Deer MT 59043-9043 | |
(406) 477-4497 | |
(406) 477-4427 |
Full Name | Lame Deer Health Center |
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Speciality | Nursing Care |
Location | 100 Cheyenne Avenue, Lame Deer, Montana |
Authorized Official Name and Position | Tina Marie Cady (ACCOUNTS RECEIVABLE) |
Authorized Official Contact | 4064774497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lame Deer Health Center Po Box 70 Lame Deer MT 59043-0070 Ph: (406) 477-4497 | Lame Deer Health Center 100 Cheyenne Avenue Lame Deer MT 59043-9043 Ph: (406) 477-4497 |
NPI Number | 1881031862 |
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Provider Enumeration Date | 05/30/2013 |
Last Update Date | 05/30/2013 |
Identifier | Type | State | Issuer |
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1881031862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 578030 (Texas) | Secondary |
261Q00000X | Clinic/center | R 0055229 (Oklahoma) | Secondary |
251J00000X | Nursing Care | NUR-RN-LIC 68698 (Montana) | Primary |