GLENDIVE MEDICAL CENTER, INC (NPI# 1215040449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215040449 |
| Entity Type | Organization |
| Organization Name | GLENDIVE MEDICAL CENTER, INC |
| Other Organization Name | GABERT CLINIC |
| Practice Address |
107 Dilworth St Glendive MT 59330-2053 |
| Practice Telephone | 4063458901 |
| Practice Fax Number | 4063458908 |
| Mailing Telephone | 4063458901 |
| Mailing Fax Number | 4063458908 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-04-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS RHC | 8882 | 01 |
| MT | 0720562 | 05 |
| Other Name | Type Code |
|---|---|
| GABERT CLINIC | Doing Business As Name - 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 |
| 1205905502 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-08 |
| 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 |
107 DILWORTH ST |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374130 | Ericca S Berry | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2005-05-27 |
| 1821654518 | Calvin Wiese | Counselor | 107 Dilworth St, Glendive, MT 59330-2053 | 2019-05-17 |
| 1770965972 | Nena Panasuk | Family Medicine | 107 Dilworth St, Glendive, MT 59330 | 2015-06-24 |
| 1598009441 | Kayli Carmen Christophel | Physician Assistant | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-11-15 |
| 1386990869 | Christopher Henderson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-08-02 |
| 1205107448 | Carolyn Jo Johnson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-01-19 |
| 1841510104 | Elizabeth Rouene Brown | Obstetrics & Gynecology | 107 Dilworth St, Glendive, MT 59330-2053 | 2010-06-09 |
| 1649433293 | Chrystal Lynn Potter | Internal Medicine | 107 Dilworth St, Glendive, MT 59330-2053 | 2008-07-03 |
| 1538293311 | Gabert Medical Services,inc | Durable Medical Equipment & Medical Supplies | 107 Dilworth St, Glendive, MT 59330-2053 | 2007-03-15 |
| 1457424244 | Charlene Pontoriero | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-17 |
| 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 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
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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.