Provider Demographics
NPI:1053628859
Name:GABERT MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:GABERT MEDICAL SERVICES, INC
Other - Org Name:PRAIRIE COMMUNITY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-345-8924
Mailing Address - Street 1:107 DILWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-2053
Mailing Address - Country:US
Mailing Address - Phone:406-345-8901
Mailing Address - Fax:406-345-8908
Practice Address - Street 1:312 S ADAMS AVE
Practice Address - Street 2:
Practice Address - City:TERRY
Practice Address - State:MT
Practice Address - Zip Code:59349-0156
Practice Address - Country:US
Practice Address - Phone:406-635-5511
Practice Address - Fax:406-635-5510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GABERT MEDICAL SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service