| Malta Medical Associates | |
|
830 South Central Ave Malta MT 59538 | |
| (406) 654-2878 | |
| (406) 654-2810 |
| Full Name | Malta Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 830 South Central Ave, Malta, Montana |
| Authorized Official Name and Position | Edwin Medina (PRESIDENT/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4066542878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malta Medical Associates Po Box 1235 Malta MT 59538-1235 Ph: (406) 654-2878 | Malta Medical Associates 830 South Central Ave Malta MT 59538 Ph: (406) 654-2878 |
| NPI Number | 1528716370 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1052794047 |
|---|---|
| Medicare Enrollment ID | O20220824002417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528716370 | NPI | - | NPPES |
| 0000922611 | Other | MT | BLUE CROSS BLUE SHIELD |
| G414566 | Medicaid | MT | |
| 0720001 | Medicaid | MT | |
| 0028223 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edwin Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356487201 PECOS PAC ID: 1254234420 Enrollment ID: I20091109000510 |
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 | |
Jess Np Family Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 S Central Ave, Malta, MT 59538 Phone: 406-654-1953 Fax: 406-654-5204 | |
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 |