Organization
TERRY A. SMITH M.C.P.C.
Active
Other names
ponderosa medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY ALLEN SMITH D.O. (OWNER)
(406) 822-4100
Entity
Organization
Contact information
Practice address
310 SPRUCE ST, SUPERIOR, MT 59872-9680
(406) 822-4100
Mailing address
310 SPRUCE ST, PO BOX 340, SUPERIOR, MT 59872-9680
(406) 822-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7350
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066521
—
MT
01
—
97711
BLUE CROSS BLUE SHIELD
MT
Enumeration date
09/22/2007
Last updated
10/18/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us