| Pondera Medical Center Dutton Clinic | |
|
17 Main St West Dutton MT 59433 | |
| (406) 271-2202 | |
| (406) 271-3917 |
| Full Name | Pondera Medical Center Dutton Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 17 Main St West, Dutton, Montana |
| Authorized Official Name and Position | Mark Jones (COO) |
| Authorized Official Contact | 4062713211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pondera Medical Center Dutton Clinic 805 Sunset Blvd Conrad MT 59425-0758 Ph: (406) 271-2202 | Pondera Medical Center Dutton Clinic 17 Main St West Dutton MT 59433 Ph: (406) 271-2202 |
| NPI Number | 1508944505 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508944505 | NPI | - | NPPES |
| 00066442 | Other | MT | BCBS |
| 0036582 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |