Organization
GREAT FALLS CLINIC
Active
Parent organization
GREAT FALLS CLINIC, LLP
Other names
CHOTEAU CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT FALLS CLINIC, LLP
Authorized official
MARTIN H SINCLAIR (CHIEF ADMINISTRATIVE OFFICER)
(406) 454-2171
Entity
Organization
Contact information
Practice address
124 MAIN AVENUE NORTH, CHOTEAU, MT 59422-9410
(406) 466-5255
(406) 466-5256
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2141
(406) 771-3021
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720341
—
MT
Enumeration date
02/18/2008
Last updated
06/03/2010
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