Organization · Type 2 NPI
Country Home Medicine
Primary Care Clinic/Center · Plevna, MT
NPI number
1629635115
Active
Practice location
104 4th Street South
Plevna, MT 59344
Fax (406) 772-5849
Mailing address
PO Box 4
Plevna, MT 59344-0004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1629635115
Country Home Medicine's National Provider Identifier is 1629635115, issued on May 21, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Plevna, MT. The record was last updated on May 21, 2019.