| St. Luke Community Clinic Polson | |
|
104 Rufus Ln Polson MT 59860-8903 | |
| (406) 883-2555 | |
| (406) 883-2559 |
| Full Name | St. Luke Community Clinic Polson |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Rufus Ln, Polson, Montana |
| Authorized Official Name and Position | Liane Clairmont (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 4066764441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke Community Clinic Polson 107 6th Ave Sw Ronan MT 59864-2634 Ph: (406) 676-4441 | St. Luke Community Clinic Polson 104 Rufus Ln Polson MT 59860-8903 Ph: (406) 883-2555 |
| NPI Number | 1184785420 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 5496659567 |
|---|---|
| Medicare Enrollment ID | O20170329002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184785420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Wholeness In Health House-call Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37926 Mt Highway 35, Polson, MT 59860 Phone: 406-261-5019 Fax: 406-883-6465 | |
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Polson Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860 Phone: 406-883-3200 Fax: 406-883-9483 | |
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