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NPI Code Detail

MEDICARE: BIGFORK MEDICAL CLINIC, PC

MEDICARE: BIGFORK MEDICAL CLINIC, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4682MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
216140OTHERMTBLUESHIELD OF MONTANA
392136OTHERMTBLUESHIELD OF MONTANA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871716936
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIGFORK MEDICAL CLINIC, PC
Provider Business Mailing Address
First Line : 8299 MT HIGHWAY 35
Second Line :
City : BIGFORK
State : MT
Zip : 59911-3583
Country : US
Telephone Number : 406-837-5541
Fax Number : 406-837-5543
Provider Business Practice Location Address
First Line : 8299 MT HIGHWAY 35
Second Line :
City : BIGFORK
State : MT
Zip : 59911-3583
Country : US
Telephone Number : 406-837-5541
Fax Number : 406-837-5543
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS G JENKO
Credential : MD
Telephone Number : 406-837-5541
Provider Enumeration Date : 04/10/2007
Last Update Date : 11/05/2007

Similar Medicare Providers

1851353965 — THOMAS G JENKO MD
Practice Location Address:
8299 MT HIGHWAY 35
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5541
Practice Fax: 406-837-5543
1922060037 — DANA CHASE DUCOTE MD
Practice Location Address:
8299 MT HIGHWAY 35
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5541
Practice Fax: 406-837-5543
1952497810 — CLAY I. CAMPBELL M.D.
Practice Location Address:
8299 MT HIGHWAY 35
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5541
Practice Fax: 406-837-5543
1508993825 — DR. CRAIG WALKER PHD
Practice Location Address:
8299 MT HIGHWAY 35 , BIGFORK MEDICAL CENTER
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5525
Practice Fax:
1548431372 — FLATHEAD PHYSICAL THERAPY, INC. P.C.
Practice Location Address:
8299 MT HIGHWAY 35
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5499
Practice Fax:
1801123534 — MARTHA JESSOP APRN-FNP, BC
Practice Location Address:
8299 MT HIGHWAY 35
BIGFORK, MT
59911-3583
Practice Phone: 406-837-5541
Practice Fax:

Directions to “BIGFORK MEDICAL CLINIC, PC ” Practice Location

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