Ponderosa Medical Clinic - Primary Care in Superior, MT

Ponderosa Medical Clinic is a primary clinic (Clinic/center) in Superior, Montana. The current practice location for Ponderosa Medical Clinic is 310 Spruce St, Superior, Montana. For appointments, you can reach them via phone at (406) 822-4100. The mailing address for Ponderosa Medical Clinic is 310 Spruce St, Po Box 340, Superior, Montana and phone number is (406) 822-4100.

Ponderosa Medical Clinic is licensed to practice in Montana (license number 7350) and its NPI number is 1932395084. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (406) 822-4100.

Contact Information

Ponderosa Medical Clinic
310 Spruce St
Superior
MT 59872-9680
(406) 822-4100
Not Available

Primary Care Clinic Profile

Full NamePonderosa Medical Clinic
SpecialityClinic/center
Location310 Spruce St, Superior, Montana
Authorized Official Name and PositionTerry Allen Smith (OWNER)
Authorized Official Contact4068224100
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ponderosa Medical Clinic
310 Spruce St
Po Box 340
Superior
MT 59872-9680

Ph: (406) 822-4100
Ponderosa Medical Clinic
310 Spruce St
Superior
MT 59872-9680

Ph: (406) 822-4100

NPI Details:

NPI Number1932395084
Provider Enumeration Date09/22/2007
Last Update Date10/18/2007

Medical Identifiers

Medical identifiers for Ponderosa Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932395084NPI-NPPES
97711OtherMTBLUE CROSS BLUE SHIELD
0066521MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 7350 (Montana)Primary

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