Organization
MINERAL REGIONAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. CARTY (DIRECTOR)
(406) 822-4841
Entity
Organization
Contact information
Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9618
(406) 822-4278
Mailing address
PO BOX 698, SUPERIOR, MT 59872-0698
(406) 822-4278
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M011002765
MEDICARE PTAN
MT
Enumeration date
06/27/2012
Last updated
07/01/2013
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