Organization
MISSOULA COMMUNITY HEALTH SERVICES, INC
Active
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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