Organization
PONDERA MEDICAL CENTER DUTTON CLINIC
Active
Other names
Pondera Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JONES (COO)
(406) 271-3211
Entity
Organization
Contact information
Practice address
17 MAIN ST WEST, DUTTON, MT 59433
(406) 271-2202
(406) 271-3917
Mailing address
805 SUNSET BLVD, CONRAD, MT 59425-0758
(406) 271-2202
(406) 271-3917
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00066442
BCBS
MT
05
—
0036582
—
MT
Enumeration date
11/01/2006
Last updated
11/14/2008
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