Organization
COLSTRIP MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN POOLE (CLINIC MANAGER)
(406) 748-3600
Entity
Organization
Contact information
Practice address
6230 MAIN, COLSTRIP, MT 59323-1858
(406) 748-3600
(406) 748-3606
Mailing address
6230 MAIN, COLSTRIP, MT 59323-1858
(406) 748-3600
(406) 748-3606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MT
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005681
BLUE SHIELD PROVIDER NUMB
MT
05
—
0005603047
—
MT
05
—
0421107
—
MT
Enumeration date
02/22/2006
Last updated
12/26/2023
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