| Whitehall Medical Clinic | |
|
108 W 1st St Whitehall MT 59759-0339 | |
| (406) 287-3003 | |
| (406) 287-3014 |
| Full Name | Whitehall Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 108 W 1st St, Whitehall, Montana |
| Authorized Official Name and Position | Gayle Faye Sacry (GENERAL PARTNER) |
| Authorized Official Contact | 4062873003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Medical Clinic Po Box 339 108 First St W Whitehall MT 59759-0339 Ph: (406) 287-3003 | Whitehall Medical Clinic 108 W 1st St Whitehall MT 59759-0339 Ph: (406) 287-3003 |
| NPI Number | 1124013719 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 8820998560 |
|---|---|
| Medicare Enrollment ID | O20040109000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124013719 | NPI | - | NPPES |
| 184739200 | Other | MT | FEDERAL WORK COMP CLINIC |
| 27D0410762 | Other | MT | PRACTICE CLIA ID |
| 9989993 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gayle Faye Sacry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821083452 PECOS PAC ID: 5799685442 Enrollment ID: I20040130000854 |
| Provider Name | Terry D Reiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316932940 PECOS PAC ID: 7911909205 Enrollment ID: I20070215000793 |