WHITEHALL MEDICAL CLINIC (NPI# 1124013719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013719 |
| Entity Type | Organization |
| Organization Name | WHITEHALL MEDICAL CLINIC |
| Practice Address |
108 W 1st St Whitehall MT 59759-0339 |
| Mailing Address |
Po Box 339 108 First St W Whitehall MT 59759-0339 |
| Practice Telephone | 4062873003 |
| Practice Fax Number | 4062873014 |
| Mailing Telephone | 4062873003 |
| Mailing Fax Number | 4062873014 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | GAYLE FAYE SACRY (GENERAL PARTNER) |
| Authorized Official Telephone | 4062873003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | FEDERAL WORK COMP CLINIC | 184739200 | 01 |
| MT | PRACTICE CLIA ID | 27D0410762 | 01 |
| MT | 9989993 | 05 |
| Street Address |
108 W 1ST ST |
| City | WHITEHALL |
| State | MT |
| Zip Code | 59759-0339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679011746 | Community Beacon of Hope Inc | Ambulance | 207 West Legion St, Whitehall, MT 59759 | 2017-02-08 |
| 1154788834 | Partners United for Life Saving Education | Ambulance | 6 N. Brooke Street, 121 W Legion, Whitehall, MT 59759 | 2016-01-26 |
| 1417179664 | Caslen Living Centers, Inc. | Assisted Living Facility | 35 Skyline Drive, Whitehall, MT 59759 | 2007-05-03 |
| 1508938986 | Dennis K Sacry Dds | Dentist | 108 First Street West, Whitehall, MT 59759 | 2006-11-14 |
| 1558480079 | Counties of Jefferson and Madison | Local Education Agency (LEA) | 309 N Division, Whitehall, MT 59759-0000 | 2007-03-28 |
| 1629064266 | Steven Forest Sacry | Physician Assistant | 108 First St W, Whitehall, MT 59759-0339 | 2005-09-20 |
| 1821083452 | Gayle Faye Sacry | Family Medicine | 108 W First St, Whitehall, MT 59759-0339 | 2005-09-20 |
| 1316932940 | Terry Don Reiff | Family Medicine | 108 W First St, Whitehall, MT 59759-0339 | 2005-09-20 |
| 1467505941 | Town of Whitehall | Ambulance | 2 North Whitehall Street, Whitehall, MT 59759-0529 | 2007-01-19 |
| 1215079140 | Whitehall Chiropractic PC | Chiropractor | 511 W Legion Ave, Whitehall, MT 59759-0547 | 2007-02-14 |
| Find all providers in zip 59759 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1851842819 | Josalyn Winnie-larie Boyles | Family Medicine | 2741 Macarthur Rd, Whitehall, PA 18052-3632 | 2016-10-14 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1770502932 | Health Care Associates, P.C. | Family Medicine | 5507 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-19 |
| 1104850734 | Narien K Grover | Family Medicine | 1401 Fairmont St, Whitehall, PA 18052-6051 | 2006-07-10 |
| 1508895186 | Louis Spikol | Family Medicine | 5505 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-03 |
| 1659358034 | Edward John Haberern | Family Medicine | 4205 Lehigh St, Whitehall, PA 18052-1424 | 2005-12-28 |
| 1346238433 | Max Linus Crossman | Family Medicine | 65 Poultney St, Whitehall Family Medicine, Whitehall, NY 12887-1543 | 2005-10-12 |
| 1821083452 | Gayle Faye Sacry | Family Medicine | 108 W First St, Whitehall, MT 59759-0339 | 2005-09-20 |
| Find all providers in WHITEHALL | ||||
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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.