Libby Clinic | |
211 E 2nd St Libby MT 59923 | |
(406) 293-8711 | |
(406) 293-8735 |
Full Name | Libby Clinic |
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Speciality | Clinic/Center |
Location | 211 E 2nd St, Libby, Montana |
Authorized Official Name and Position | Myresa C Boulware (OFFICE MANAGER) |
Authorized Official Contact | 4062938711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Libby Clinic 211 E 2nd St Libby MT 59923-2047 Ph: (406) 293-8711 | Libby Clinic 211 E 2nd St Libby MT 59923 Ph: (406) 293-8711 |
NPI Number | 1306818034 |
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Provider Enumeration Date | 02/06/2006 |
Last Update Date | 05/18/2015 |
Medicare PECOS PAC ID | 5496725038 |
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Medicare Enrollment ID | O20060831000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306818034 | NPI | - | NPPES |
0730431 | Medicaid | MT | |
CO1378 | Other | MT | RAILROAD MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Gregory A Rice |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477529998 PECOS PAC ID: 0749275493 Enrollment ID: I20040420000880 |
Provider Name | Glenne S Gunther |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629044276 PECOS PAC ID: 4385614932 Enrollment ID: I20100730000917 |
Provider Name | Terrence J O'malia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972738532 PECOS PAC ID: 6406022169 Enrollment ID: I20140321001723 |
Provider Name | Belinda Wise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558735688 PECOS PAC ID: 8224331855 Enrollment ID: I20160114001965 |
Provider Name | Kelli Jarrett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144665316 PECOS PAC ID: 8628395803 Enrollment ID: I20171121001083 |
Provider Name | Virginia Fikes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376112961 PECOS PAC ID: 8628473659 Enrollment ID: I20210830000112 |
Northwest Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 East Second Street, Libby, MT 59923 Phone: 406-283-6900 Fax: 406-293-6622 | |
Northwest Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 Fax: 406-293-8735 | |
Lincoln County Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Montana Ave, Libby, MT 59923 Phone: 406-293-6291 Fax: 406-293-2435 | |
Northwest Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Education Way, Libby, MT 59923 Phone: 406-293-8802 Fax: 406-293-6622 | |
Foss Chiropractic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Dakota Ave, Libby, MT 59923 Phone: 406-293-8736 Fax: 406-293-8737 | |
Lincoln County Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Health Park Dr, Libby, MT 59923 Phone: 406-283-6900 |