CONVENIENCECARE CLINIC


Address: 2419 W Main St Ste 2, Bozeman, MT 59718-3813
Phone: 4069222750

CONVENIENCECARE CLINIC (NPI# 1639374382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639374382
Entity Type Organization
Organization Name CONVENIENCECARE CLINIC
Practice Address 2419 W Main St Ste 2
Bozeman
MT 59718-3813
Practice Telephone 4069222750
Practice Fax Number 4069222751
Mailing Telephone 4069222750
Mailing Fax Number 4069222751
Enumeration Date 2007-06-20
Last Update Date 2020-08-22
Authorized Official Name MRS. MARYKAY THURSTON (OWNER)
Authorized Official Telephone 4069222750
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN9447 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 4308344 05

Office Location

Street Address 2419 W MAIN ST STE 2
City BOZEMAN
State MT
Zip Code 59718-3813

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932727518 Alex Mattucci Pharmacist 200 South 23rd St, Bozeman, MT 59718 2020-07-09
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1528680733 Amanda Harris Student in an Organized Health Care Education/Training Program 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 2020-05-11
1568946291 Build Physio & Performance, Pllc Physical Therapist 609 Pronghorn Trail, Bozeman, MT 59718 2018-09-19
1184107872 Hunter Family Chiropractic Pllc Chiropractor 37 Spanish Peak Drive, Bozeman, MT 59718 2018-09-10
1588179873 Melissa N Blixt Nurse Practitioner 1805 W. Oak, Bozeman, MT 59718 2017-12-07
1861949455 Kristina Joy Parmelee Massage Therapist 1001 West Oak Street #210, Bozeman, MT 59718 2016-09-01
1265883037 Molly Kathleen Smith Specialist 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 2016-06-23
1063891414 Dutton & Willhite, Inc. Chiropractor 2622 W. Main Ste. B, Bozeman, MT 59718 2015-05-19
1548664253 Stacy Montaigne Aucoin Social Worker 102 S. 19th, Suite #5, Bozeman, MT 59718 2014-10-09
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427418128 Ami Shetler Nurse Practitioner 2085 1/2 Watts Ln, Bozeman, MT 59718-1410 2016-02-24
1063060143 Clarissa Drill Nurse Practitioner 915 Highland Blvd, Bozeman, MT 59715-6902 2019-08-31
1891203790 Kelsey Lau Elkins Nurse Practitioner 915 Highland Blvd, Bozeman, MT 59715-6902 2018-01-14
1740739200 Andrea Kate Lachniet Nurse Practitioner 915 Highland Blvd, Bozeman, MT 59715-6902 2016-09-26
1699944736 Ann O Galloway Nurse Practitioner 937 Highland Blvd, Ste 5410, Bozeman, MT 59715-6916 2008-02-22
1942499645 Charlotte A Weiss Nurse Practitioner 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 2007-10-18
1770618340 Jennifer K Sofie Nurse Practitioner 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 2007-02-22
1417028853 Sebastian C. White Nurse Practitioner 915 Highland Blvd, Bozeman, MT 59715-6902 2006-11-09
1063594182 Keven Jean Comer Nurse Practitioner 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 2006-10-19
1346334794 Eileen Ralicke Nurse Practitioner 214 East Mendenhall, Gallatin Community Clinic, Bozeman, MT 59715 2006-10-02
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Competitor

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City BOZEMAN
Zip Code 59718

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Dataset Information

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.

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