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NPI Code Detail

MEDICARE: CLAY I. CAMPBELL M.D.

MEDICARE: CLAY I. CAMPBELL 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
1207Q00000XFamily Medicine PhysicianM-6065ID
2207Q00000XFamily Medicine Physician90015MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952497810
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAY I. CAMPBELL M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 06/10/2024

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Directions to “ CLAY I. CAMPBELL M.D.” Practice Location

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