Organization
MISSOULA COMMUNITY HEALTH SERVICES, INC
Active
Other names
Mineral Community Hospital Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CONROW-VERVERIS (CFO)
(406) 822-4841
Entity
Organization
Contact information
Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9667
(406) 822-4841
Mailing address
PO BOX 66, SUPERIOR, MT 59872-0066
(406) 822-4841
(406) 822-4963
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/24/2018
Last updated
10/12/2022
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