Provider Demographics
NPI:1417106501
Name:SAINT CATHERINE FAMILY HEALTH CARE CLINIC & PREGNANCY RESOURCE CENTER
Entity type:Organization
Organization Name:SAINT CATHERINE FAMILY HEALTH CARE CLINIC & PREGNANCY RESOURCE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN
Authorized Official - Phone:406-388-7035
Mailing Address - Street 1:15 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3959
Mailing Address - Country:US
Mailing Address - Phone:406-388-7035
Mailing Address - Fax:406-388-1890
Practice Address - Street 1:15 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3959
Practice Address - Country:US
Practice Address - Phone:406-388-7035
Practice Address - Fax:406-388-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT19667261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care