SHIELDS VALLEY HEALTH CENTER, INC. (NPI# 1063677417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063677417 |
| Entity Type | Organization |
| Organization Name | SHIELDS VALLEY HEALTH CENTER, INC. |
| Other Organization Name | CREATIVE NURSING CONCEPTS, INC. |
| Practice Address |
309 Elliott Street North Wilsall MT 59086-0347 |
| Mailing Address |
309 Elliott Street North Po Box 347 Wilsall MT 59086-0347 |
| Practice Telephone | 4065782580 |
| Mailing Telephone | 4065782580 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MRS. SUSAN FRANCE SCOTT (PRESIDENT) |
| Authorized Official Telephone | 4065782512 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NONE REQUIRED | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Creative Nursing Concepts, Inc. | Former Legal Business Name - Organization |
| Street Address |
309 ELLIOTT STREET NORTH |
| City | WILSALL |
| State | MT |
| Zip Code | 59086-0347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245251230 | Nicole C. Dearmond | Physician Assistant | 309 Elliot Street North, Wilsall, MT 59086-0347 | 2006-07-22 |
| 1225086978 | Susan France Scott | Registered Nurse | 309 Elliott Street N, Wilsall, MT 59086-0347 | 2006-05-05 |
| 1841683588 | Livingston Healthcare | Clinic/Center | 309 Elliot Street North, Wilsall, MT 59086-0347 | 2015-03-05 |
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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.