LIBBY CLINIC; NPI #1306818034

Contact Information

LIBBY CLINIC

211 E 2ND ST
LIBBY, MT 59923

Phone: 406-293-8711
Fax: 406-293-8735
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LIBBY CLINIC

NPI # 1306818034

LBN Legal business name LIBBY CLINIC

Authorized official MYRESA BOULWARE - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2006

Last updated 05/18/2015 - About 11 years ago

Identifiers

MT	Medicaid	0730431
MT	Other	CO1378	RAILROAD MEDICARE NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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