GLENDIVE MEDICAL CENTER, INC (NPI# 1205905502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205905502 |
| Entity Type | Organization |
| Organization Name | GLENDIVE MEDICAL CENTER, INC |
| Other Organization Name | GMC PHARMACY |
| Practice Address |
202 Prospect Dr Glendive MT 59330-1943 |
| Practice Telephone | 4063453306 |
| Practice Fax Number | 4063453358 |
| Mailing Telephone | 4063453306 |
| Mailing Fax Number | 4063453358 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | WILLIAM ROBINSON (VP OF FINANCIAL SERVICES) |
| Authorized Official Telephone | 4063458924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
134 | MT | Suppliers |
| Y | 333600000X | Pharmacy | 134 | MT | Suppliers |
| Other Name | Type Code |
|---|---|
| GMC Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659487445 | Glendive Medical Center, Inc | Assisted Living Facility | 1313 N Merrill Ave, Glendive, MT 59330-1900 | 2006-08-22 |
| 1174836506 | Glendive Medical Center, Inc | Hospitalist | 202 Prospect Dr, Glendive, MT 59330-1943 | 2010-07-14 |
| 1437317344 | Glendive Medical Center, Inc | Radiology | 202 Prospect Dr, Glendive, MT 59330-1943 | 2008-05-28 |
| 1275603953 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-09 |
| 1215040449 | Glendive Medical Center, Inc | Clinic/Center | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-08-15 |
| 1700896941 | Glendive Medical Center, Inc | Skilled Nursing Facility | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-09 |
| 1073523635 | Glendive Medical Center, Inc | Medicare Defined Swing Bed Unit | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| 1366452955 | Glendive Medical Center, Inc | Hospice Care, Community Based | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| 1124038716 | Glendive Medical Center, Inc | Emergency Medicine | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| 1033129622 | Glendive Medical Center, Inc | Clinic/Center | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| Street Address |
202 PROSPECT DR |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790701498 | Jack W. Haas | Physician Assistant | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-07-14 |
| 1346884947 | April Dawn Price | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330-1943 | 2019-11-06 |
| 1073174538 | Eric Charles Weigel | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330-1943 | 2019-06-25 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 1336419969 | Michael Ryan Johnson | Nurse Anesthetist, Certified Registered | 202 Prospect Dr, Glendive, MT 59330-1943 | 2012-01-12 |
| 1174836506 | Glendive Medical Center, Inc | Hospitalist | 202 Prospect Dr, Glendive, MT 59330-1943 | 2010-07-14 |
| 1255650610 | Jeffery R. Schultz | Nurse Anesthetist, Certified Registered | 202 Prospect Dr, Glendive, MT 59330-1943 | 2010-05-25 |
| 1083870042 | Shawn Patrick Regan | Nurse Anesthetist, Certified Registered | 202 Prospect Dr, Glendive, MT 59330-1943 | 2008-07-30 |
| 1437317344 | Glendive Medical Center, Inc | Radiology | 202 Prospect Dr, Glendive, MT 59330-1943 | 2008-05-28 |
| 1194884353 | John Kevin Maxwell | Radiology | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
| 1154651016 | Debra Linn | Speech-Language Pathologist | 14 Big Sky Drive, Glendive, MT 59330 | 2009-12-28 |
| 1770965972 | Nena Panasuk | Family Medicine | 107 Dilworth St, Glendive, MT 59330 | 2015-06-24 |
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1275593410 | Ft Reynolds | Pharmacy | 1014 W Bell St, Glendive, MT 59330-1502 | 2006-03-23 |
| 1346296266 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 307 Harmon St, Glendive, MT 59330-1510 | 2006-05-25 |
| 1275870909 | Steve Knoop | Pharmacist | 307 Harmon St, Glendive, MT 59330-1510 | 2013-01-15 |
| 1972030708 | Calkins Dental Office, LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2017-05-11 |
| 1598177115 | Matthew Don Calkins | Dentist | 116 N Meade Ave, Glendive, MT 59330-1604 | 2014-06-02 |
| 1770831539 | Coburn Dental Office LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2012-08-27 |
| Find all providers in zip 59330 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 1639625064 | Shopko Stores Operating Co LLC | Pharmacy | 1001 N Center Ave, Hardin, MT 59034-1101 | 2016-08-26 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1164809778 | Credena Health LLC | Pharmacy | 50331a Us Highway 93, Polson, MT 59860-7046 | 2015-05-04 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 1962823054 | Vendor Pro Corporation | Pharmacy | 1627 W Main St., Suite 446, Bozeman, MT 59715-4011 | 2013-12-17 |
| 1073853941 | Vans Iga of Dillon Inc | Pharmacy | 110 Southside Blvd, Dillon, MT 59725-3536 | 2013-02-28 |
| 1477850931 | Lakeside Pharmacy LLC | Pharmacy | 7100 Hwy 93 South, Suite A, Lakeside, MT 59922 | 2011-02-18 |
| 1790002566 | Big Sandy Pharmacy Inc | Pharmacy | 158 Johannes Ave, Big Sandy, MT 59520 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLENDIVE MEDICAL CENTER, 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.