Provider Demographics
NPI:1982286449
Name:SUGG PRIMARY CARE CLINIC, PLLC
Entity Type:Organization
Organization Name:SUGG PRIMARY CARE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:406-868-8177
Mailing Address - Street 1:238 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2313
Mailing Address - Country:US
Mailing Address - Phone:406-868-8177
Mailing Address - Fax:
Practice Address - Street 1:238 2ND AVE S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2313
Practice Address - Country:US
Practice Address - Phone:406-868-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-24
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care