Organization
BATES FAMILY DIVERSIFIED, LLC
Active
Other names
Three Rivers Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A BATES FNP-BC (OWNER)
(406) 285-3251
Entity
Organization
Contact information
Practice address
16 RAILWAY AVE, THREE FORKS, MT 59752-9080
(406) 285-3251
(406) 285-6742
Mailing address
16 RAILWAY AVE, THREE FORKS, MT 59752-9080
(406) 285-3251
(406) 285-6742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
08/14/2020
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