# BIGFORK MEDICAL CLINIC, PC

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

## Provider details

- **NPI number:** 1871716936
- **Authorized official:** DR. THOMAS G JENKO MD (PRESIDENT)
- **Authorized official phone:** (406) 837-5541

## Contact information

- **Practice address:** 8299 MT HIGHWAY 35, BIGFORK, MT 59911-3583
- **Practice address phone:** (406) 837-5541
- **Practice address fax:** (406) 837-5543
- **Mailing address:** 8299 MT HIGHWAY 35, BIGFORK, MT 59911-3583
- **Mailing address phone:** (406) 837-5541
- **Mailing address fax:** (406) 837-5543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4682 | MT | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 11/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0067171 | — | MT |
| 05 | — | 0149345 | — | MT |
| 01 | — | 16140 | BLUESHIELD OF MONTANA | MT |
| 01 | — | 92136 | BLUESHIELD OF MONTANA | MT |