Bates Family Diversified, LLC
NPI #1003466822 in Three Forks, Montana
Provider Information
- NPI Number
- 1003466822
- Entity Type
- Organization
- Organization Name
- Bates Family Diversified, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 13, 2019
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 16 RAILWAY AVE
- City
- Three Forks
- State
- Montana
- ZIP Code
- 59752-9080
- Phone
- (406) 285-3251
Authorized Official
- Name
- CYNTHIA A BATES, FNP-BC
- Title
- OWNER
- Phone
- (406) 285-3251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
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