Kelly Ewalt, Inc | |
305 1st Ave W Columbia Falls MT 59912-3625 | |
(406) 249-9153 | |
(406) 892-4606 |
Full Name | Kelly Ewalt, Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 305 1st Ave W, Columbia Falls, Montana |
Authorized Official Name and Position | Kelly Ewalt (OWNER) |
Authorized Official Contact | 4062499153 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelly Ewalt, Inc 305 1st Ave W Columbia Falls MT 59912-3625 Ph: (406) 249-9153 | Kelly Ewalt, Inc 305 1st Ave W Columbia Falls MT 59912-3625 Ph: (406) 249-9153 |
NPI Number | 1114770591 |
---|---|
Provider Enumeration Date | 04/08/2024 |
Last Update Date | 04/08/2024 |
Certification Date | 04/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114770591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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