# LIBBY CLINIC

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

## Provider details

- **NPI number:** 1306818034
- **Authorized official:** MYRESA C BOULWARE (OFFICE MANAGER)
- **Authorized official phone:** (406) 293-8711

## Contact information

- **Practice address:** 211 E 2ND ST, LIBBY, MT 59923
- **Practice address phone:** (406) 293-8711
- **Practice address fax:** (406) 293-8735
- **Mailing address:** 211 E 2ND ST, LIBBY, MT 59923-2047
- **Mailing address phone:** (406) 293-8711
- **Mailing address fax:** (406) 293-8735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 05/18/2015