# ALPINE FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1861523649
- **Authorized official:** DEREK GEDLAMAN (CEO)
- **Authorized official phone:** (406) 892-1011

## Contact information

- **Practice address:** 734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
- **Practice address phone:** (406) 892-1011
- **Practice address fax:** (406) 892-2108
- **Mailing address:** 734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
- **Mailing address phone:** (406) 892-1011
- **Mailing address fax:** (406) 892-2108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10336 | MT | Yes |
| 363AM0700X | Medical Physician Assistant | 312 | MT | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 08/26/2008