CENTRAL MONTANA IMAGING LLC (NPI# 1598766826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598766826 |
| Entity Type | Organization |
| Organization Name | CENTRAL MONTANA IMAGING LLC |
| Practice Address |
1417 9th St S Suite 102 Great Falls MT 59405-4509 |
| Practice Telephone | 4062160040 |
| Practice Fax Number | 4062160041 |
| Mailing Telephone | 4062160040 |
| Mailing Fax Number | 4062160041 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | JOHN MARK POULSEN (ADMINISTRATOR) |
| Authorized Official Telephone | 4067995880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
9758 | MT | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
9758 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0760058 | 05 |
| Street Address |
1417 9TH ST S SUITE 102 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413093 | Rocky Mountain Vein Clinic Great Falls Inc | Surgery | 1417 9th St S, Great Falls, MT 59405-4509 | 2016-05-03 |
| 1679730436 | Providence Health & Services Mt | Internal Medicine | 1417 9th St S, Suite 203, Great Falls, MT 59405-4509 | 2008-05-20 |
| 1245419670 | Melissa Ann Pellot | Registered Nurse | 1417 9th St S, Great Falls, MT 59405-4509 | 2007-11-01 |
| 1295825420 | Robert Arthur Neill | Dermatology | 1417 9th St S, Suite 200, Great Falls, MT 59405-4509 | 2006-10-16 |
| 1811089568 | Ro Montana | Pharmacy | 1417 9th St S, Suite 101a, Great Falls, MT 58405 | 2006-09-29 |
| 1346251147 | Brian E. Linnell | Counselor | 1417 9th St S, Great Falls, MT 59405-4509 | 2006-08-10 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922548650 | Sound Health Imaging, Inc. | Clinic/Center | 1400 29th St S, Great Falls, MT 59405-5315 | 2017-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855443 | Bozeman Diagnostics LLC | Clinic/Center | 875 Bridger Dr Ste G, Bozeman, MT 59715-2303 | 2018-09-18 |
| 1417028648 | Medical Imaging Connections | Clinic/Center | 1220 2nd St W, Roundup, MT 59072-1836 | 2006-11-10 |
| 1164437943 | Advanced Imaging At Community Medical Center, LLC | Clinic/Center | 2803 South Ave W, Missoula, MT 59804-5103 | 2006-07-30 |
| 1598033755 | Community Mri Services, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 400, Billings, MT 59102-6756 | 2011-12-02 |
| 1740318948 | Teton Medical Center | Clinic/Center | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-03-01 |
| 1750459715 | Central Montana Medical Facilities, Inc. | Clinic/Center | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2006-11-30 |
| 1386713832 | Northwest Imaging, PC | Clinic/Center | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2006-11-07 |
| 1710088448 | North Valley Dexa Scan | Clinic/Center | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2006-09-26 |
| 1063442598 | St. Vincent Healthcare | Clinic/Center | 1041 N 29th St, Billings, MT 59101-0700 | 2006-07-03 |
| 1497704860 | Deaconess Intercity Imaging,llc | Clinic/Center | 905 Highland Blvd, Suite 4100, Bozeman, MT 59715-6902 | 2006-05-10 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on CENTRAL MONTANA IMAGING 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.