PONDERA MEDICAL CENTER NPI 1326138579

NPI Information

NPI: 1326138579
Provider Name: PONDERA MEDICAL CENTER

Other Name: CHOTEAU CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
19 1ST ST NE
CHOTEAU, MT
ZIP 59422
Phone: (406) 271-3211
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PONDERA MEDICAL CENTER is a community health clinic center in Choteau, MT. PONDERA MEDICAL CENTER NPI is 1326138579. The provider is registered as an organization entity type.
The provider Other Name Is Choteau Clinic.

The provider's business location address is:

19 1ST ST NE
CHOTEAU, MT
ZIP 59422
Phone: (406) 271-3211
Fax: (406) 271-3917

The provider's authorized official is Mark Jones .
The authorized official title is C.o.o. and has the following contact phone number (406) 271-3211.

The CLIA number assigned to this NPI record is 27D0968900 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/4/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000084451	MEDICARE OSCAR/CERTIFICATION	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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