NPI 1053158766

Moccasin Mountain Health Clinic, INC

Organisation General Practice Physician Lewistown, MT

Practice location

Address: 629 NE Main St STE 2, Lewistown, MT 59457-2082
Phone: (406) 321-2431
Mailing address: 920 6th Ave N, Lewistown, MT 59457-2125

Authorised official

Name: Randi Rath
Title: Ceo
Phone: (406) 321-2431

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Montana →

Registry record

NPI: 1053158766
Entity type: Organization
NPI issued: 10 Jul 2024
Record last updated: 10 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.