CMSC, LLC (NPI# 1336696152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336696152 |
| Entity Type | Organization |
| Organization Name | CMSC, LLC |
| Other Organization Name | GREAT FALLS CLINIC HOSPITAL |
| Practice Address |
3010 15th Ave S Great Falls MT 59405-5240 |
| Mailing Address |
Po Box 912984 Denver CO 80291-2984 |
| Practice Telephone | 4062168000 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | VICKI LEE NEWMILLER (COO) |
| Authorized Official Telephone | 4062168000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 12794 | MT | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
12794 | MT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 12794 | MT | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 12794 | MT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Great Falls Clinic Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600701 | Cmsc, LLC | Clinic/Center | 9212 165th St, Jamaica, NY 11433-1104 | 2018-12-10 |
| 1639109978 | Cmsc, LLC | General Acute Care Hospital | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2006-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CMSC, LLC | 2635 Nw 12th St, Redmond, OR 97756 |
| Street Address |
3010 15TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639109978 | Cmsc, LLC | General Acute Care Hospital | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2006-07-03 |
| 1518439371 | Dan J Pradere | Nurse Practitioner | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2018-12-18 |
| 1306352232 | Christine M Schrage | Occupational Therapist | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2017-12-14 |
| 1245763085 | Trevor James Evans | Nurse Anesthetist, Certified Registered | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2017-04-08 |
| 1356889695 | Erica M Bonilla | Physical Therapist | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2017-02-07 |
| 1114367216 | Ryan Butler | Family Medicine | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2013-07-03 |
| 1477840080 | Becky Ann Slater | Emergency Medicine | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2011-07-03 |
| 1720374648 | Sean C Banks | Internal Medicine | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2011-06-20 |
| 1528385598 | Horng-chyi Richard Lai | Internal Medicine | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2010-04-29 |
| 1396077632 | Anne Kathryn Eby | Nurse Practitioner | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2010-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679820005 | Robert Rowan La Barre | Emergency Medicine | 829 Blacks Hill Rd, Great Falls, VA 22066-1301 | 2012-08-03 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1669794962 | Peter Steven Tippett | Emergency Medicine | 9893 Georgetown Pike, Suite 101, Great Falls, VA 22066-2617 | 2010-02-28 |
| 1740385053 | Helenka M Marcinek | Emergency Medicine | 1101 Th St S, Great Falls, MT 59405 | 2006-09-13 |
| 1578500112 | John C Stowers | Emergency Medicine | 463 Flood Rd, Great Falls, MT 59404-6403 | 2006-06-01 |
| 1336527118 | Cara Louise Callison | Emergency Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2015-05-12 |
| 1760892632 | Matthew Humbert | Emergency Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2014-05-01 |
| 1508286451 | Rafael Martinez | Emergency Medicine | 1101 26th St S, Great Falls, MT 59405 | 2014-04-18 |
| 1518300276 | Brittany Wynn Mayfield | Emergency Medicine | 1101 26th St S, Er Business Office, Great Falls, MT 59405-5161 | 2013-04-12 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on CMSC, LLC.
| 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.