Organization
SIDNEY HEALTH CENTER
Active
Other names
Mon Dak Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MONTGOMERY (SENIOR EXECUTIVE, FINIANCE/CFO)
(406) 488-2117
Entity
Organization
Contact information
Practice address
304 S ELLERY, FAIRVIEW, MT 59221
(406) 742-5261
(406) 742-5263
Mailing address
214 14TH AVE SW, SUITE 107, SIDNEY, MT 59270
(406) 488-2169
(406) 488-2149
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720161
—
MT
01
—
63062
BLUE CROSS
MT
Enumeration date
11/16/2006
Last updated
12/08/2020
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