GREAT FALLS CLINIC NPI 1073781548

NPI Information

GREAT FALLS CLINIC is a rural health clinic center in Choteau, MT. GREAT FALLS CLINIC NPI is 1073781548. The provider is registered as an organization entity type.
The provider Is Doing Business As Choteau Clinic.

The provider's business location address is:

124 MAIN AVENUE NORTH
CHOTEAU, MT
ZIP 59422-410
Phone: (406) 466-5255
Fax: (406) 466-5256

The provider's authorized official is Martin H Sinclair .
The authorized official title is Chief Administrative Officer and has the following contact phone number (406) 454-2171.

The CLIA number assigned to this NPI record is 27D1002264 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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