Organization
MCCONE COUNTY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUE GARDNER (CEO)
(406) 485-3381
Entity
Organization
Contact information
Practice address
605 SULLIVAN AVENUE, CIRCLE, MT 59215
(406) 485-3381
(406) 485-3383
Mailing address
P. O. BOX 48, CIRCLE, MT 59215-0048
(406) 485-3381
(406) 485-3383
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
10099
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090433
CLINIC BCBS
MT
05
—
0230685
—
MT
05
—
0432874
—
MT
01
—
2703002
NAPB
MT
05
—
31100136
—
MT
05
—
317369
—
MT
01
—
40252
NURSING HOME BCBS
MT
05
—
4105218
—
MT
01
—
60012
CAH BCBS
MT
Enumeration date
03/26/2007
Last updated
02/11/2025
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