MEDICARE: ALLEN W JONES JR. M.D.

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
1	207Q00000X	Family Medicine Physician	26631	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	396825	OTHER	GA	BC/BS GEORGIA

General Provider Information

NPI Number	:	1114926102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN W JONES JR. M.D.

Provider Business Mailing Address
First Line	:	1224 W MAIN ST
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2338
Country	:	US
Telephone Number	:	406-375-4823
Fax Number	:	406-375-4846

Provider Business Practice Location Address
First Line	:	1200 WESTWOOD DR
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2345
Country	:	US
Telephone Number	:	406-363-5101
Fax Number	:	406-363-7652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	05/12/2021

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