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General NPI Number Information
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NPI Number | 1790803369
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Entity Type | Organization
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Legal Business Name | MCCONE COUNTY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 605 SULLIVAN AVENUE
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City | CIRCLE
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State | MT
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Zip | 59215
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Country | US
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Telephone | 406-485-3381
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Fax | 406-485-3383
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Provider Business Mailing Address
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Address Line | P. O. BOX 48
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City | CIRCLE
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State | MT
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Zip | 59215-0048
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Country | US
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Telephone | 406-485-3381
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Fax | 406-485-3383
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Authorized Official
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Title or Position | CEO
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Name | MS. JACQUE GARDNER
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Credential |
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Telephone | 406-485-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 10099
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License Number State | MT
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