Organization
GREAT FALLS CLINIC LLC
Active
Organization
GREAT FALLS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Mailing address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1554
MT
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/02/2005
Last updated
06/23/2026
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