# PLENTYWOOD CLINIC, PC

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

## Provider details

- **NPI number:** 1326123696
- **Authorized official:** MS. CINDY S NIKOLAISEN (OFFICE MANAGER)
- **Authorized official phone:** (406) 765-1501

## Contact information

- **Practice address:** 448 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
- **Practice address phone:** (406) 765-1501
- **Practice address fax:** (406) 765-1506
- **Mailing address:** PO BOX 217, PLENTYWOOD, MT 59254-0217
- **Mailing address phone:** (406) 765-1501
- **Mailing address fax:** (406) 765-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 10/09/2007