Organization
MOCCASIN MOUNTAIN HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI RATH PA (CEO)
(406) 321-2431
Entity
Organization
Contact information
Practice address
629 NE MAIN ST STE 2, LEWISTOWN, MT 59457-2082
(406) 321-2431
Mailing address
920 6TH AVE N, LEWISTOWN, MT 59457-2125
(406) 321-2431
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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