=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982286449
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUGG PRIMARY CARE CLINIC, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2021
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 323 KLEIN AVE
-----------------------------------------------------
City | GLASGOW
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59230-1838
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-228-8013
-----------------------------------------------------
Fax | 406-298-6070
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 323 KLEIN AVE
-----------------------------------------------------
City | GLASGOW
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59230-1838
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-228-8013
-----------------------------------------------------
Fax | 406-298-6070
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FNP-C
-----------------------------------------------------
Name | DR. DAWN SUGG
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 406-868-8177
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------