Organization
LINCOLN COUNTY COMMUNITY HEALTH CENTER INC
Active
Other names
Northwest Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CLEMONS (EXECUTIVE DIRECTOR)
(406) 283-6919
Entity
Organization
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6979
(406) 293-7233
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6979
(406) 293-7233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-33478
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154975
PK
—
Enumeration date
10/30/2015
Last updated
10/03/2023
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