WESTERN MONTANA CLINIC PC (NPI# 1740364017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740364017 |
| Entity Type | Organization |
| Organization Name | WESTERN MONTANA CLINIC PC |
| Other Organization Name | WESTERN MONTANA CLINIC LABORATORY |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Practice Fax Number | 4067213907 |
| Mailing Telephone | 4067215600 |
| Mailing Fax Number | 4067213907 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | ADAM VANREGENMORTER (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 4067215600 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Western Montana Clinic Laboratory | Doing Business As Name - Organization |
| 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 |
| 1366761686 | Western Montana Clinic PC | Clinic/Center | 11350 Us Highway 93 S, Lolo Family Practice, Lolo, MT 59847-9689 | 2010-05-26 |
| 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 |
| 1942253182 | Western Montana Clinic PC | Clinic/Center | 500 West Broadway, Missoula, MT 59802-4008 | 2006-05-18 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (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. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018871 | Compliance Monitoring Systems | Clinical Medical Laboratory | 2809 Great Northern Loop, 200, Missoula, MT 59808-1749 | 2015-03-20 |
| 1386973501 | Pathology Associates Medical Laboratories, LLC | Clinical Medical Laboratory | 2819 Great Northern Loop, Missoula, MT 59808-1750 | 2009-12-17 |
| 1154588630 | Western Montana Clinic Laboratory | Clinical Medical Laboratory | 400 W Front St, Missoula, MT 59802-4102 | 2008-05-21 |
| 1619007101 | Montana Heart Angio Lab LLC | Clinical Medical Laboratory | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531979 | Rocky Mountain Biometrx | Clinical Medical Laboratory | 3511 1st Ave N Ste 2, Great Falls, MT 59401-3527 | 2020-06-05 |
| 1396246641 | Laboratory Corporation of America | Clinical Medical Laboratory | 2900 12th Ave N Ste 150w, Billings, MT 59101-7511 | 2018-02-22 |
| 1134627409 | Karla Rae Forster | Clinical Medical Laboratory | 1636 Hidden Cove Ln, Billings, MT 59101-9164 | 2018-01-31 |
| 1487179123 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2900 12th Ave N Ste 255w, Billings, MT 59101-7519 | 2017-08-03 |
| 1568857100 | Kalispell Denture Studio, LLC | Clinical Medical Laboratory | 79531 Us Highway 93, Elmo, MT 59915-9726 | 2015-03-31 |
| 1518359389 | Scott Inc | Clinical Medical Laboratory | 2425 Us Highway 2 E, Kalispell, MT 59901-2309 | 2015-03-03 |
| 1184876385 | Pamela S. Rehurek | Clinical Medical Laboratory | Hwy 212, Crow Agency, MT 59022 | 2008-10-21 |
| 1053533471 | Phillips County Hospital Lab Xray | Clinical Medical Laboratory | 311 8th Ave So, Malta, MT 59538 | 2007-05-03 |
| 1770700353 | Newport Pathology | Clinical Medical Laboratory | 966 Missoula Ave, Troy, MT 59935-9624 | 2007-04-18 |
| 1144395518 | Helena Medical Laboratory, Inc | Clinical Medical Laboratory | 27 Neill Ave Ste 103, Helena, MT 59601-3383 | 2006-11-21 |
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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.