Ocf West Group Inc | |
307 E Park Ave Anaconda MT 59711-2320 | |
(406) 563-4386 | |
Not Available |
Full Name | Ocf West Group Inc |
---|---|
Speciality | General Practice |
Location | 307 E Park Ave, Anaconda, Montana |
Authorized Official Name and Position | John E Moore (OWNER) |
Authorized Official Contact | 4065634386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ocf West Group Inc Po Box1487 Anaconda MT 59711-1487 Ph: (406) 563-4386 | Ocf West Group Inc 307 E Park Ave Anaconda MT 59711-2320 Ph: (406) 563-4386 |
NPI Number | 1750610556 |
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Provider Enumeration Date | 12/08/2009 |
Last Update Date | 12/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750610556 | NPI | - | NPPES |
1861587818 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 7622 (Montana) | Primary |
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