GLENDIVE MEDICAL CENTER, INC (NPI# 1275603953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275603953 |
| Entity Type | Organization |
| Organization Name | GLENDIVE MEDICAL CENTER, INC |
| Other Organization Name | GMC VA SATELLITE 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 | 2006-11-09 |
| Last Update Date | 2017-04-11 |
| 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 | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
1052 | MT | Suppliers |
| Other Name | Type Code |
|---|---|
| GMC VA Satellite 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 |
| 1205905502 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-08 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699845461 | Gabert Medical Services, Inc | Pharmacy | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-09 |
| 1205905502 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-08 |
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|---|---|---|---|---|
| 1821641069 | Glacier Pharmacy LLC | Pharmacy | 601 W Main St Ste 1a, Cut Bank, MT 59427-2832 | 2019-07-17 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1174945406 | Healthcare Providers-ltc | Pharmacy | 1900 N 1st St Ste B, Hamilton, MT 59840-3115 | 2014-01-06 |
| 1659504363 | Glacier Ridge Pharmacy Inc | Pharmacy | 6475 Us Highway 93 S, Whitefish, MT 59937-8282 | 2009-08-27 |
| 1205062098 | Glacier Ridge Pharmacy Inc | Pharmacy | 55 1st Avenue East N, Kalispell, MT 59901-4001 | 2009-06-07 |
| 1790804557 | Mt State Veterans Home Satelite Pharmacy | Pharmacy | 400 Veterans Road, Columbia Falls, MT 59912-0250 | 2007-03-29 |
| 1851424246 | Three Bears Alaska Inc | Pharmacy | 45 Three Bears Dr, Butte, MT 59701 | 2007-03-14 |
| 1164559746 | Pharmfill Inc | Pharmacy | 117 N Main St # A, Three Forks, MT 59752-9013 | 2007-02-28 |
| 1902942469 | Granite Cnty Med Hosp Phcy | Pharmacy | 310 Sansome St, Philipsburg, MT 59858-0729 | 2007-01-30 |
| 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.