# PONDERA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choteau Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326138579
- **Authorized official:** MARK JONES (C.O.O.)
- **Authorized official phone:** (406) 271-3211

## Contact information

- **Practice address:** 19 1ST ST NE, CHOTEAU, MT 59422
- **Practice address phone:** (406) 271-3211
- **Practice address fax:** (406) 271-3917
- **Mailing address:** PO BOX 758, CONRAD, MT 59425-0758
- **Mailing address phone:** (406) 271-3211
- **Mailing address fax:** (406) 271-7661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 11/04/2008