MEDICARE: GUARDIAN HEALTHCARE CENTERS

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	261QP2300X	Primary Care Clinic/Center

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

General Provider Information

NPI Number	:	1831533355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HEALTHCARE CENTERS

Provider Business Mailing Address
First Line	:	39 STEVENSVILLE CUTOFF RD
Second Line	:	SUITE A
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-6496
Country	:	US
Telephone Number	:	406-361-1882
Fax Number	:	206-892-9678

Provider Business Practice Location Address
First Line	:	39 STEVENSVILLE CUTOFF RD
Second Line	:	SUITE A
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-6496
Country	:	US
Telephone Number	:	406-361-1882
Fax Number	:	206-892-9678

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GUY A JONES
Credential	:
Telephone Number	:	406-361-1882

Provider Enumeration Date	:	04/26/2013
Last Update Date	:	06/02/2015

Similar Medicare Providers

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Directions to “GUARDIAN HEALTHCARE CENTERS ” Practice Location

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