MR. SHAWN PATRICK MATT (NPI# 1295854651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295854651 |
Entity Type | Individual |
Full Name | MR. SHAWN PATRICK MATT |
Practice Address |
308 Mission Drive St Ignatius MT 59865 |
Mailing Address |
Po Box 880 St Ignatius MT 59865 |
Practice Telephone | 4067453525 |
Practice Fax Number | 4067452437 |
Mailing Telephone | 4067453525 |
Mailing Fax Number | 4067452437 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 5817 | MT | Pharmacy Service Providers |
Street Address |
308 MISSION DRIVE |
City | ST IGNATIUS |
State | MT |
Zip Code | 59865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669790200 | Katie R. Lake | Radiologic Technologist | 308 Mission Drive, St Ignatius, MT 59864 | 2010-05-06 |
1013190644 | Brenda Morton | Registered Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-12-05 |
1811179799 | Thomas Vernon Christensen | Dental Hygienist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-12-03 |
1942499843 | Alvin Eugene Arneson | Pharmacist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-10-17 |
1235258609 | Dorene Ruth Vallee | Registered Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-03-28 |
1215056692 | Lisa Marie Allard | Pharmacist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-03-28 |
1457488199 | Steven Alexander Buffalo | Counselor | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-28 |
1548303308 | Kim M Azure | Counselor | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-14 |
1508904905 | Ann Marie Penturf | Dentist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-01 |
1558407296 | Nancy R Grant | Licensed Practical Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
Find all providers in zip 59865 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
1891129987 | Steven Anthony Loconte | Pharmacy Technician | 2824 Us Highway 93 N Ste B, Victor, MT 59875-9505 | 2013-08-26 |
1215075023 | Amanda Marie Gee | Pharmacy Technician | 909 Montana St Apt C, Belgrade, MT 59714-4349 | 2007-02-02 |
1114073202 | Sheri Marie Schloss | Pharmacy Technician | 205 W Madison Ave, Belgrade, MT 59714-3906 | 2007-01-25 |
1598210007 | Margaret Baughman | Pharmacy Technician | 2415 S Catlin St, Missoula, MT 59801-7822 | 2016-08-25 |
1497182257 | Cynthia A. Ottun | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-10 |
1558796870 | Eric Davis | Pharmacy Technician | 2415 S Catlin St, Missoula, MT 59801-7822 | 2013-09-05 |
1770601486 | Krista Rae Schrader | Pharmacy Technician | 310 Sunnyview Ln, Pharmacy, Kalispell, MT 59901-3129 | 2007-03-27 |
1326179664 | Robbi Delaney | Pharmacy Technician | 20 3rd St N, Great Falls, MT 59401-3188 | 2007-03-08 |
1225134141 | Candace L Kuiper | Pharmacy Technician | 20 3rd St N, Great Falls, MT 59401-3188 | 2006-09-16 |
Find all providers with the same taxonomy |
City | ST IGNATIUS |
Zip Code | 59865 |
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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.