# PONDERA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PONDERA MEDICAL CENTER REFERRAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710901194
- **Authorized official:** MARK JONES (CEO)
- **Authorized official phone:** (406) 271-3211

## Contact information

- **Practice address:** 805 SUNSET BLVD, CONRAD, MT 59425-1717
- **Practice address phone:** (406) 271-3211
- **Practice address fax:** (406) 271-7661
- **Mailing address:** P O 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 |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 10678 | MT | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/30/2008
