MONTANA LITHOTRIPSY,LLC (NPI# 1326242934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326242934 |
| Entity Type | Organization |
| Organization Name | MONTANA LITHOTRIPSY,LLC |
| Practice Address |
630 W Mercury St Butte MT 59701-1510 |
| Practice Telephone | 4067237000 |
| Practice Fax Number | 4067237004 |
| Mailing Telephone | 4067237000 |
| Mailing Fax Number | 4067237004 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL ERVIN KUGLITSCH (OWNER) |
| Authorized Official Telephone | 4067237000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
630 W MERCURY ST |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114455961 | Stephanie Rowling | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2017-05-24 |
| 1548617517 | Kristie Matule | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2016-05-19 |
| 1093162257 | Cccs Smart Program | Community/Behavioral Health | 630 W Mercury St, Butte, MT 59701-1510 | 2016-05-18 |
| 1861849366 | Ronald Hendrickson | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2016-05-16 |
| 1710334206 | Roxanna Reynolds | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2016-05-16 |
| 1740682681 | Amy Birkelo | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2014-09-23 |
| 1598193443 | Dave Boyd | Counselor | 630 W Mercury St, Butte, MT 59701-1510 | 2013-10-30 |
| 1760688238 | Eastern Plains-clinic of Urology, LLC | Urology | 630 W Mercury St, Butte, MT 59701-1510 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828260 | Glacier Ultrasound Service | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Aspen Loop, Kalispell, MT 59901-3312 | 2020-10-12 |
| 1578171781 | Flexible Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2181 Us Highway 2 E Ste 5486, Kalispell, MT 59901-2870 | 2020-07-14 |
| 1447621214 | Big Sky Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 390 Purdy Dr, Eureka, MT 59917-9492 | 2015-10-19 |
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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.