# BELGRADE CLINIC PLLP

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

## Provider details

- **NPI number:** 1447280912
- **Authorized official:** HEATHER D KJERSTAD MD (MANAGING PARTNER)
- **Authorized official phone:** (406) 388-3334

## Contact information

- **Practice address:** 33 W MAIN ST, BELGRADE, MT 59714-3716
- **Practice address phone:** (406) 388-3334
- **Practice address fax:** (406) 388-1271
- **Mailing address:** 33 W MAIN ST, BELGRADE, MT 59714-3716
- **Mailing address phone:** (406) 388-3334
- **Mailing address fax:** (406) 388-1271

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009986259 | — | MT |