| Mineral Regional Health Center Inc. | |
|
1208 6th Ave Superior MT 59872-9618 | |
| (406) 822-4278 | |
| Not Available |
| Full Name | Mineral Regional Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1208 6th Ave, Superior, Montana |
| Authorized Official Name and Position | Steven D. Carty (DIRECTOR) |
| Authorized Official Contact | 4068224841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral Regional Health Center Inc. Po Box 698 Superior MT 59872-0698 Ph: (406) 822-4278 | Mineral Regional Health Center Inc. 1208 6th Ave Superior MT 59872-9618 Ph: (406) 822-4278 |
| NPI Number | 1073877742 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073877742 | NPI | - | NPPES |
| M011002765 | Other | MT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Missoula Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 6th Ave, Superior, MT 59872 Phone: 406-822-4841 | |
Missoula Community Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 6th Ave E, Superior, MT 59872 Phone: 406-822-4841 Fax: 406-822-4963 | |
Missoula Community Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1208 6th Ave, Superior, MT 59872 Phone: 406-822-4278 Fax: 406-822-4912 | |
Terry A. Smith M.c.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Spruce St, Superior, MT 59872 Phone: 406-822-4100 |