| West Yellowstone Back & Neck Clinic | |
|
425 Yellowstone Ave. West Yellowstone MT 59758 | |
| (406) 646-4444 | |
| Not Available |
| Full Name | West Yellowstone Back & Neck Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 Yellowstone Ave., West Yellowstone, Montana |
| Authorized Official Name and Position | Kyle Goltz (OWNER) |
| Authorized Official Contact | 4066464444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Yellowstone Back & Neck Clinic Po Box 1167 West Yellowstone MT 59758-1167 Ph: (406) 646-4444 | West Yellowstone Back & Neck Clinic 425 Yellowstone Ave. West Yellowstone MT 59758 Ph: (406) 646-4444 |
| NPI Number | 1699806471 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/17/2009 |
| Medicare PECOS PAC ID | 4486546447 |
|---|---|
| Medicare Enrollment ID | O20040325001492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699806471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 940 (Montana) | Primary |
| Provider Name | Kyle M Goltz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417049891 PECOS PAC ID: 5991697856 Enrollment ID: I20101203001258 |
Yellowstone Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Yellowstone Avenue, West Yellowstone, MT 59758 Phone: 406-646-0200 Fax: 406-646-0400 | |
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