MATHEW GOODRICH (NPI# 1508377490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377490 |
| Entity Type | Individual |
| Full Name | MATHEW GOODRICH |
| Practice Address |
2827 Fort Missoula Rd Missoula MT 59804-7408 |
| Mailing Address |
950 Mount Ave Apt 202 Missoula MT 59801-5662 |
| Practice Telephone | 4063274171 |
| Mailing Telephone | 4067029386 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 26233 | MT | Emergency Medical Service Providers |
| Street Address |
2827 FORT MISSOULA RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597639 | Vern Hicks Horton | Surgery | 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804-7408 | 2005-12-06 |
| 1922612431 | Jaala M Wickman | Student in an Organized Health Care Education/Training Program | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-09-02 |
| 1679193551 | Jared Hartley | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-21 |
| 1316567332 | Pat Roosa | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1033739123 | Sarah Elliott | Speech-Language Pathologist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1578183836 | Evelyn M Redfern | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1811517196 | Rebeccah Tye Mcmillan | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1447888557 | Bryann Lea Bausch | Social Worker | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-01 |
| 1528694684 | Kate Elizabeth Berry | Nurse Practitioner | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-03-19 |
| 1316583511 | Hospitalist Medicine Physicians of California - Tcs, PC | Internal Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497871800 | Dennis Trenton Murphy | Emergency Medical Technician, Basic | 32 Campus Dr # Ac250, Rhinehart Atc, Missoula, MT 59812-0003 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439985 | Shelby Angela Crandall | Emergency Medical Technician, Basic | 11 Two Springs Rd, Ennis, MT 59729-9188 | 2020-05-26 |
| 1770943771 | Wise River Volunteer Fire Company | Emergency Medical Technician, Basic | 64795 Mt Highway 43, Wise River, MT 59762-9700 | 2016-03-03 |
| 1871922203 | Bonnie Lynn Longknife | Emergency Medical Technician, Basic | Rr 1 Box 642, Box Elder, MT 59521-9730 | 2013-11-06 |
| 1851676365 | Authentic Agenda, Inc. | Emergency Medical Technician, Basic | 386 Hammond Creek Rd, Crazy Mountain Ranch, Clyde Park, MT 59018 | 2011-10-15 |
| 1780847509 | Eastgate Vfd | Emergency Medical Technician, Basic | 3895 Buttercup, East Helena, MT 59635-0735 | 2008-07-02 |
| 1679692800 | Golden Valley Ambulance Service | Emergency Medical Technician, Basic | 104 Kemp Street, Ryegate, MT 59074 | 2007-03-28 |
| 1811045511 | County of Prairie | Emergency Medical Technician, Basic | 217 West Park St, Terry, MT 59349-0126 | 2007-01-08 |
| 1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
| 1619046661 | Glenn D Houser | Emergency Medical Technician, Basic | 450 Osloski Rd, Eureka, MT 59917-9534 | 2006-11-06 |
| 1205887924 | Community Hospital of Anaconda | Emergency Medical Technician, Basic | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2006-05-15 |
| 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.