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BATES FAMILY DIVERSIFIED LLC NPI 1003466822


NPI Information

NPI: 1003466822
Provider Name: BATES FAMILY DIVERSIFIED, LLC

Doing Business As: THREE RIVERS CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 27D0696973

Address:
16 RAILWAY AVE
THREE FORKS, MT
ZIP 59752
Phone: (406) 285-3251
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BATES FAMILY DIVERSIFIED, LLC is a rural health clinic center in Three Forks, MT. BATES FAMILY DIVERSIFIED, LLC NPI is 1003466822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Three Rivers Clinic.

The provider's business location address is:

16 RAILWAY AVE
THREE FORKS, MT
ZIP 59752-080
Phone: (406) 285-3251
Fax: (406) 285-6742

The provider's authorized official is Cynthia A Bates .
The authorized official title is Owner and has the following contact phone number (406) 285-3251.

The CLIA number assigned to this NPI record is 27D0696973 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2019 and was last updated on 8/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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