| Moccasin Mountain Health Clinic, Inc | |
|
629 Ne Main St Ste 2 Lewistown MT 59457-2082 | |
| (406) 321-2431 | |
| Not Available |
| Full Name | Moccasin Mountain Health Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 629 Ne Main St Ste 2, Lewistown, Montana |
| Authorized Official Name and Position | Randi Rath (CEO) |
| Authorized Official Contact | 4063212431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moccasin Mountain Health Clinic, Inc 920 6th Ave N Lewistown MT 59457-2125 Ph: (406) 321-2431 | Moccasin Mountain Health Clinic, Inc 629 Ne Main St Ste 2 Lewistown MT 59457-2082 Ph: (406) 321-2431 |
| NPI Number | 1053158766 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 0648711317 |
|---|---|
| Medicare Enrollment ID | O20240920002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053158766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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Scl Health Medical Group - Billings Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 Cattail Dr, Lewistown, MT 59457 Phone: 406-535-7070 | |
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