PONDERA MEDICAL CENTER (NPI# 1669461703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669461703 |
| Entity Type | Organization |
| Organization Name | PONDERA MEDICAL CENTER |
| Practice Address |
809 Sunset Blvd Conrad MT 59425-1799 |
| Mailing Address |
805 Sunset Blvd P O Box 758 Conrad MT 59425-1717 |
| Practice Telephone | 4062713231 |
| Practice Fax Number | 4062713576 |
| Mailing Telephone | 4062713211 |
| Mailing Fax Number | 4062713917 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | BRENDA RIES (CFO) |
| Authorized Official Telephone | 4062713211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000066442 | 01 |
| MT | 0720392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265425854 | Pondera Medical Center | Skilled Nursing Facility | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-08-30 |
| 1467445049 | Pondera Medical Center | General Acute Care Hospital | 805 Sunset Boulevard, Conrad, MT 59425-0758 | 2005-08-29 |
| 1790803765 | Pondera Medical Center | Ambulance | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2007-03-27 |
| 1114098746 | Pondera Medical Center | Medicare Defined Swing Bed Unit | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-13 |
| 1487724399 | Pondera Medical Center | Physician Assistant | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-11-08 |
| 1245319201 | Pondera Medical Center | Anesthesiology | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-02 |
| 1326138579 | Pondera Medical Center | Clinic/Center | 19 1st St Ne, Choteau, MT 59422 | 2006-10-16 |
| 1710901194 | Pondera Medical Center | Clinic/Center | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2006-07-27 |
| 1962492694 | Pondera Medical Center | Durable Medical Equipment & Medical Supplies | 805 Sunset Blvd, Conrad, MT 59425-1721 | 2005-10-25 |
| 1699765552 | Pondera Medical Center | Home Health | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PONDERA MEDICAL CENTER | 805 Sunset Blvd, Conrad, MT 59425-1721 |
| Street Address |
809 SUNSET BLVD |
| City | CONRAD |
| State | MT |
| Zip Code | 59425-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285079913 | Ashton S Hofstad | Nurse Practitioner | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2013-05-08 |
| 1265614630 | David J Arends | Physician Assistant | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2007-11-28 |
| 1457340457 | Shawn Thomas Nesbo | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425-1799 | 2005-10-21 |
| 1912996935 | Peter Damian Barran | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425 | 2005-10-21 |
| 1376532309 | Jay Daniel Taylor | Family Medicine | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1073675351 | Pondera County | Public Health or Welfare | 311 S. Virginia Street, Suite 1, Conrad, MT 59425 | 2006-12-14 |
| 1609956200 | Jesse T Parks | Pharmacist | 600 South Main, Ste 2, Conrad, MT 59425 | 2006-10-17 |
| 1902992159 | Julie Laine Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1962511154 | Sunset Dental Care PC | Durable Medical Equipment & Medical Supplies | 417 2nd Ave Sw, Conrad, MT 59425 | 2006-08-30 |
| 1588087225 | Steven D. Baliko | Counselor | 600 S Main St, Conrad, MT 59425 | 2014-01-31 |
| 1932243524 | Rosalie Mccormick | Counselor | 315 S Main, Conrad, MT 59425 | 2007-02-16 |
| 1619063864 | Richard Joseph Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1396731808 | Norman Lee Walker | Physician Assistant | 805 Sunset Blvd, Conrad, MT 59425 | 2005-09-21 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| Find all providers in zip 59425 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| 1083149611 | Unitypoint Health - Marshalltown | Clinic/Center | 105 N Church St, Conrad, IA 50621-7714 | 2017-04-20 |
| 1922252741 | Central Iowa Healthcare | Clinic/Center | 105 N Church St, Conrad, IA 50621-7714 | 2008-11-06 |
| 1437136165 | Mmsc Ventures Inc | Clinic/Center | 105 N Church St, Conrad, IA 50621-7714 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| 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.