Individual
DR. EDWIN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S CENTRAL AVE, MALTA, MT 59538
(406) 390-2596
(406) 654-2571
Mailing address
PO BOX 1235, MALTA, MT 59538-1235
(406) 301-1063
(406) 654-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9635
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092611
BLUE CROSS BLUE SHIELD
MT
05
—
0028223
—
MT
05
—
0720001
—
MT
Enumeration date
01/29/2007
Last updated
01/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us