Organization
LAME DEER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE CADY (ACCOUNTS RECEIVABLE)
(406) 477-4497
Entity
Organization
Contact information
Practice address
100 CHEYENNE AVENUE, LAME DEER, MT 59043-9043
(406) 477-4497
(406) 477-4427
Mailing address
PO BOX 70, LAME DEER, MT 59043-0070
(406) 477-4497
(406) 477-4427
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NUR-RN-LIC 68698
MT
261Q00000X
Clinic/Center
578030
TX
261Q00000X
Clinic/Center
R 0055229
OK
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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