EAST SLOPE FAMILY PRACTICE PLLC (NPI# 1801273636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801273636 |
| Entity Type | Organization |
| Organization Name | EAST SLOPE FAMILY PRACTICE PLLC |
| Practice Address |
900 6th St Sw Ste 2 Great Falls MT 59404-3207 |
| Mailing Address |
900 6th St Sw Suite 2 Great Falls MT 59404-3207 |
| Practice Telephone | 4067813323 |
| Mailing Telephone | 4067273242 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | JEREMIAH L WATT (BUSINESS OWNER) |
| Authorized Official Telephone | 4067813323 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1670537 | MT | Ambulatory Health Care Facilities |
| Street Address |
900 6TH ST SW STE 2 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912568692 | Amanda Marie Engman | Nurse Practitioner | 900 6th St Sw Ste 2, Great Falls, MT 59404-3207 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1821466863 | Golden Dragon Acupuncture | Clinic/Center | 1308 12th Ave S, Great Falls, MT 59405-4607 | 2015-09-08 |
| 1780968974 | Benefis Hospitals, Inc | Clinic/Center | 1101 26th St S, Great Falls, MT 59405-5161 | 2011-10-06 |
| 1902092489 | Rocky Mountain Sleep Disorders Center Inc | Clinic/Center | 1917 4th St S, Great Falls, MT 59405-4149 | 2007-09-19 |
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| 1912308578 | Wyscriptz LLC | Clinic/Center | 2120 S Reserve St Ste 109, Missoula, MT 59801-6451 | 2014-09-12 |
| 1356667216 | Applied Health Services Inc | Clinic/Center | 102 13th Ave E, Polson, MT 59860-3513 | 2010-04-15 |
| 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 |
| 1104857077 | St. Vincent Healthcare | Clinic/Center | Palliative Care Services, 1233 North 30th St, Billings, MT 59101 | 2006-07-06 |
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1841897659 | Community Counseling and Correctional Services Inc | Clinic/Center | 471 E Mercury St, Butte, MT 59701-1906 | 2020-10-05 |
| 1710503099 | Sentinel Healthcare LLC | Clinic/Center | 1900 S Reserve St, Missoula, MT 59801-6455 | 2020-06-22 |
| 1568086452 | Kalispell Regional Medical Center, Inc | Clinic/Center | 245 Windward Way Ste 101, Kalispell, MT 59901-3385 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on EAST SLOPE FAMILY PRACTICE PLLC.
| 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.