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Organization

FAIRFIELD MEDICAL CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE L CATRON NP (OWNER)
(406) 467-2600
Entity
Organization

Contact information

Practice address
223 W MAIN, FAIRFIELD, MT 59436-0885
(406) 467-2600
(406) 467-3210
Mailing address
PO BOX 885, FAIRFIELD, MT 59436-0885
(406) 467-2600
(406) 467-3210

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15597
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000037405
BCBS
MT
05
0434486
MT
01
500002829
RAILROAD MEDICARE
MT
Enumeration date
05/18/2012
Last updated
05/18/2012
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