NPI 1003466822 · live from the CMS NPI Registry
Bates Family Diversified, LLC
Clinic/Center, Rural Health in Three Forks, MT. National Provider Identifier 1003466822, active.
NPI record
| NPI | 1003466822 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rural Health 261QR1300X |
| Practice location | 16 Railway Ave, Three Forks, MT 59752 |
| Practice phone | 406-285-3251 |
| Enumerated | September 13, 2019 |
| Last updated | August 14, 2020 |
| Authorized official | Cynthia Bates, Owner |
| Other names | Three Rivers Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Rural Health primary | 261QR1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.