WESTERN MONTANA CLINIC PC (NPI# 1366761686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366761686 |
Entity Type | Organization |
Organization Name | WESTERN MONTANA CLINIC PC |
Practice Address |
11350 Us Highway 93 S Lolo Family Practice Lolo MT 59847-9689 |
Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
Practice Telephone | 4062730045 |
Mailing Telephone | 4067215600 |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |
Authorized Official Name | JOYCE E STEVENS (DIRECTOR ANCILLARY & SATELLITE SERV) |
Authorized Official Telephone | 4067215600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952568685 | Western Montana Clinic PC | Clinic/Center | 6 13th Ave E Ste 1, Polson, MT 59860-5315 | 2008-05-20 |
1356518567 | Western Montana Clinic PC | Clinic/Center | 210 Sunnyview Ln Ste 4, Kalispell, MT 59901-3128 | 2008-05-15 |
1508110982 | Western Montana Clinic PC | Clinic/Center | 110 Kruger Rd, Plains, MT 59859-9234 | 2012-11-06 |
1982861613 | Western Montana Clinic PC | Clinic/Center | 400 S Clark St, Butte, MT 59701-2328 | 2008-05-20 |
1063689263 | Western Montana Clinic PC | Clinic/Center | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2008-05-15 |
1619144821 | Western Montana Clinic PC | Clinic/Center | 2901 Brooks St, Missoula, MT 59801-7722 | 2008-05-15 |
1518134725 | Western Montana Clinic PC | Clinic/Center | 1200 Westwood Dr, Hamilton, MT 59840-2345 | 2008-05-15 |
1508033713 | Western Montana Clinic PC | Clinic/Center | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2008-05-15 |
1740364017 | Western Montana Clinic PC | Clinical Medical Laboratory | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-10-24 |
1942253182 | Western Montana Clinic PC | Clinic/Center | 500 West Broadway, Missoula, MT 59802-4008 | 2006-05-18 |
Street Address |
11350 US HIGHWAY 93 S LOLO FAMILY PRACTICE |
City | LOLO |
State | MT |
Zip Code | 59847-9689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366434839 | Greg Murray | Physician Assistant | 11350 Us Highway 93 S, Lolo, MT 59847-9689 | 2005-08-19 |
1306883905 | Lolo Family Practice Inc | Psychologist | 11350 Us Highway 93 S, Lolo, MT 59847-9689 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780702381 | Debby M Kittel | Specialist/Technologist | 5252 Avalon Lane, Lolo, MT 59847 | 2007-03-26 |
1972620482 | Lolo School District Number Seven | Local Education Agency (LEA) | 11395 Us Highway 93 South, Lolo, MT 59847 | 2007-03-22 |
1255496717 | Brandon Ray Wright | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
1629133186 | Lolo Dental Clinic PC | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
1154486611 | Steven Max Hillberry | Dentist | 108 Tyler Way, Lolo, MT 59847 | 2006-12-26 |
1457556763 | Building New Horizons Inc | Local Education Agency (LEA) | Po Box 272, Lolo, MT 59847-0272 | 2007-06-18 |
1649504747 | Denise Birkholz | Specialist/Technologist, Other | 11227 Stella Blue Dr, Lolo, MT 59847-8490 | 2009-09-23 |
1528301611 | Brian Edward Garnett | Pharmacist | 11461 Stella Blue Dr, Lolo, MT 59847-8492 | 2013-03-27 |
1336635150 | Mckayla Mcnamara | Specialist/Technologist | 10980 Cayuse Ct Apt 1, Lolo, MT 59847-8543 | 2018-07-04 |
1356407266 | Charlotte Sophia Kasl | Counselor | 7725 Moe Rd, Lolo, MT 59847-8612 | 2006-12-28 |
Find all providers in zip 59847 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588137228 | Pure Infusion Suites of Montana LLC | Clinic/Center | 100 Brookshire Blvd Ste 1, Billings, MT 59102-6751 | 2019-01-04 |
1801273636 | East Slope Family Practice Pllc | Clinic/Center | 900 6th St Sw Ste 2, Great Falls, MT 59404-3207 | 2015-04-30 |
1912308578 | Wyscriptz LLC | Clinic/Center | 2120 S Reserve St Ste 109, Missoula, MT 59801-6451 | 2014-09-12 |
1356667216 | Applied Health Services Inc | Clinic/Center | 102 13th Ave E, Polson, MT 59860-3513 | 2010-04-15 |
1952568685 | Western Montana Clinic PC | Clinic/Center | 6 13th Ave E Ste 1, Polson, MT 59860-5315 | 2008-05-20 |
1356518567 | Western Montana Clinic PC | Clinic/Center | 210 Sunnyview Ln Ste 4, Kalispell, MT 59901-3128 | 2008-05-15 |
1104857077 | St. Vincent Healthcare | Clinic/Center | Palliative Care Services, 1233 North 30th St, Billings, MT 59101 | 2006-07-06 |
1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
1841897659 | Community Counseling and Correctional Services Inc | Clinic/Center | 471 E Mercury St, Butte, MT 59701-1906 | 2020-10-05 |
1710503099 | Sentinel Healthcare LLC | Clinic/Center | 1900 S Reserve St, Missoula, MT 59801-6455 | 2020-06-22 |
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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.