Main Street Clinic
Clinic/Center, Primary Care in Belgrade, MT. Organization (NPI-2).
NPI number1427294792
StatusActive
Last updated in NPPESDec 16, 2008
Details
- NPI
- 1427294792
- Entity type
- Organization (NPI-2)
- Legal business name
- Main Street Clinic
- Organization subpart
- No
- Enumeration date
- Dec 16, 2008
- Last updated
- Dec 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 10584 | MT | Yes |
Practice location
11 W Main StSuite 225
Belgrade, MT 59714-3700
Phone 406-388-6151
Mailing address
11 W Main StSuite 225
Belgrade, MT 59714-3700
Phone 406-388-6151
Authorized official
Marc Charles Mentel
Physician/Owner
4065701639
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