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27D1007175 CLIA NUMBER - TWIN BRIDGES RURAL HEALTH CLINIC

Laboratory Demographics

CLIA Number: 27D1007175

Facility Name: TWIN BRIDGES RURAL HEALTH CLINIC

Facility Address:
104 SOUTH MADISON ST
TWIN BRIDGES, MT
ZIP 59754
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Facility Phone Number: 406 842-5453

Facility Type: Rural Health Clinic

Certificate Type: Waiver
NPI Number: 1902054034

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 27D1007175
LAB Type Rural Health Clinic
Facility Name TWIN BRIDGES RURAL HEALTH CLINIC
Street 104 SOUTH MADISON ST
City TWIN BRIDGES
State MT
ZIP 59754
Phone 406 842-5453
CertificateType 4
CertificateEffectiveDate 12/10/2022
CertificateExpirationDate 12/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024