BENEFIS SPECTRUM MEDICAL, INC. (NPI# 1053531160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053531160 |
| Entity Type | Organization |
| Organization Name | BENEFIS SPECTRUM MEDICAL, INC. |
| Practice Address |
1411 9th St S Great Falls MT 59405-4507 |
| Practice Telephone | 4067716400 |
| Practice Fax Number | 4067718337 |
| Mailing Telephone | 4067716400 |
| Mailing Fax Number | 4067718337 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | MR. FORREST EHLINGER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4064555479 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENEFIS HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0631943 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811266182 | Benefis Spectrum Medical, Inc. | Case Management | 315 N 24th St, Billings, MT 59101-1311 | 2011-12-15 |
| 1801165170 | Benefis Spectrum Medical, Inc. | Case Management | 2210 Us Highway 93 S Unit A, Kalispell, MT 59901-7530 | 2011-12-15 |
| 1194746883 | Benefis Spectrum Medical, Inc. | Case Management | 245 E Park St Lowr Level, Butte, MT 59701-1829 | 2006-07-21 |
| 1477583011 | Benefis Spectrum Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1411 9th St So, Great Falls, MT 59405-4503 | 2006-07-03 |
| 1689602716 | Benefis Spectrum Medical, Inc. | Prosthetic/Orthotic Supplier | 1117 29th St S, Great Falls, MT 59405-5306 | 2006-06-29 |
| 1588915847 | Benefis Spectrum Medical, Inc. | Nurse Practitioner | 1411 9th St S, Great Falls, MT 59405-4507 | 2012-09-27 |
| 1548530025 | Benefis Spectrum Medical, Inc. | Case Management | 1411 9th St So, Great Falls, MT 59405-4503 | 2011-12-30 |
| 1114296316 | Benefis Spectrum Medical, Inc. | Case Management | 2210 Us Highway 93 S Unit A, Kalispell, MT 59901-7530 | 2011-12-19 |
| 1477822740 | Benefis Spectrum Medical, Inc. | Case Management | 1411 9th St So, Great Falls, MT 59405-4503 | 2011-12-15 |
| 1982765509 | Benefis Spectrum Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1411 9th St So, Great Falls, MT 59405-4503 | 2006-12-13 |
| Street Address |
1411 9TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283456 | David C Boharski | Nurse Practitioner | 1411 9th St S, Great Falls, MT 59405-4503 | 2005-05-27 |
| 1588915847 | Benefis Spectrum Medical, Inc. | Nurse Practitioner | 1411 9th St S, Great Falls, MT 59405-4507 | 2012-09-27 |
| 1811283344 | Central Montana Surgery Center, Inc. | General Acute Care Hospital | 1411 9th St S, Great Falls, MT 59405-4507 | 2011-06-23 |
| 1164519377 | Central Montana Laboratory, LLC | Clinical Medical Laboratory | 1411 9th St S, Suite B101, Great Falls, MT 59405-4503 | 2006-10-08 |
| 1811927452 | Benefis Spectrum Medical, Inc. | Home Health | 1411 9th St S, Great Falls, MT 59405-4503 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912326018 | Kim Delong | Specialist | 1909 W Hill Pl, Great Falls, MT 59404-3042 | 2014-04-16 |
| 1841534112 | Donna M Dawsey | Specialist | 825 9th St S, Great Falls, MT 59405-2135 | 2012-11-26 |
| 1962660845 | Larry Wayne Kincer | Specialist | 1301 Park Garden Rd, Great Falls, MT 59404-3629 | 2008-05-28 |
| 1811014566 | Stephen R Baker | Specialist | 10800 Georgetown Pike, Great Falls, VA 22066-1604 | 2007-03-26 |
| 1073500336 | Antonio Hodges Santin | Specialist | 1600 9th St S, Great Falls, MT 59405-4510 | 2005-10-03 |
| 1528411212 | Atlas Neurology, LLC | Specialist | 401 15th Ave S Ste 101, Great Falls, MT 59405-4372 | 2016-07-18 |
| 1740644095 | Innovative Pain Management Clinic, Inc | Specialist | 916 13th Ave S, Great Falls, MT 59405-4406 | 2016-04-12 |
| 1407229412 | Kristina Schuster | Specialist | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2015-11-12 |
| 1407253057 | Az Tech Radiology and Open Mri LLC | Specialist | 11444 Aidan Run Court, Great Falls, VA 22066 | 2014-11-25 |
| 1013329432 | Ashley Pogany | Specialist | 825 9th St S, Great Falls, MT 59405-2135 | 2014-05-21 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on BENEFIS SPECTRUM MEDICAL, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.