# COLSTRIP MEDICAL CENTER

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

## Provider details

- **NPI number:** 1821063868
- **Authorized official:** MR. JOHN POOLE (CLINIC MANAGER)
- **Authorized official phone:** (406) 748-3600

## Contact information

- **Practice address:** 6230 MAIN, COLSTRIP, MT 59323-1858
- **Practice address phone:** (406) 748-3600
- **Practice address fax:** (406) 748-3606
- **Mailing address:** 6230 MAIN, COLSTRIP, MT 59323-1858
- **Mailing address phone:** (406) 748-3600
- **Mailing address fax:** (406) 748-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MT | Yes |
| 261Q00000X | Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 12/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000005681 | BLUE SHIELD PROVIDER NUMB | MT |
| 05 | — | 0005603047 | — | MT |
| 05 | — | 0421107 | — | MT |