# CHRONIC DISEASE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154032472
- **Authorized official:** DR. MARK DONALD KISHBAUGH PA-C (MANAGER)
- **Authorized official phone:** (406) 224-2244

## Contact information

- **Practice address:** 7 MICROWAVE HILL RD STE C, CLANCY, MT 59634-8001
- **Practice address phone:** (406) 946-2983
- **Mailing address:** PO BOX 44, BOULDER, MT 59632-0044
- **Mailing address phone:** (406) 224-2244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2022
- **Last updated:** 07/27/2023