# PONDERA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1487724399
- **Authorized official:** CARL JIM CHRISTENSEN (CEO)
- **Authorized official phone:** (406) 271-2202

## Contact information

- **Practice address:** 805 SUNSET BLVD., CONRAD, MT 59425-0758
- **Practice address phone:** (406) 271-2202
- **Practice address fax:** (406) 271-3917
- **Mailing address:** 805 SUNSET BLVD., PO BOX 758, CONRAD, MT 59425-0758
- **Mailing address phone:** (406) 271-2202
- **Mailing address fax:** (406) 271-3917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020