THREE RIVERS CLINIC LLC (NPI# 1851425789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851425789 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS CLINIC LLC |
| Practice Address |
16 Railway Ave Three Forks MT 59752-1078 |
| Mailing Address |
Po Box 1078 Three Forks MT 59752-1078 |
| Practice Telephone | 4062853251 |
| Practice Fax Number | 4062856742 |
| Mailing Telephone | 4062853251 |
| Mailing Fax Number | 4062856742 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | SHERRY KERR (ADMIN) |
| Authorized Official Telephone | 4062853251 |
| Authorized Official Credential | BSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
NUR-APRN-LIC-100 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE | 29346 | 01 |
| Street Address |
16 RAILWAY AVE |
| City | THREE FORKS |
| State | MT |
| Zip Code | 59752-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384301 | Tracy Metully Roberts | Nurse Practitioner | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-12-23 |
| 1003466822 | Bates Family Diversified, LLC | Family Medicine | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-09-13 |
| 1770135782 | Crystal Joy Marx | Nurse Practitioner | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-07-10 |
| 1659887412 | Sarah Helen Sentz | Nurse Practitioner | 16 Railway Ave, Box 1078, Three Forks, MT 59752-5975 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800454 | Three Forks School District #j24 | Local Education Agency (LEA) | 212 East Neal, Three Forks, MT 59752 | 2015-05-07 |
| 1376678037 | Three Forks Physical Therapy, Inc. | Clinic/Center | 203 S Main St., Three Forks, MT 59752 | 2007-02-22 |
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1447811146 | Emily Uhl Rothing | Physical Therapist | 203 S Main Street, Three Forks, MT 59752 | 2019-06-24 |
| 1093297202 | Alena R Mayer | Physical Therapy Assistant | 203 S Main St., Three Forks, MT 59752 | 2018-09-04 |
| 1013307842 | Jamie Lyn Demaray | Mechanotherapist | 119 Main Street, Three Forks, MT 59752 | 2015-02-02 |
| 1366713562 | Tina Cecilie Wambeke | Mechanotherapist | 119 S. Main St., Restoration Massage Therapy, LLC, Three Forks, MT 59752 | 2012-01-19 |
| 1942238001 | Laura Lower | Counselor | 7 Railway Ave., Three Forks, MT 59752-0462 | 2006-06-29 |
| 1699139386 | Montana Oxygen LLC | Durable Medical Equipment & Medical Supplies | 627 West Jefferson, Three Forks, MT 59752-0787 | 2016-04-08 |
| 1356471213 | Chad D Russell | Dentist | 123 Main St, Suite #1, Three Forks, MT 59752-0850 | 2007-03-07 |
| Find all providers in zip 59752 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | THREE FORKS |
| Zip Code | 59752 |
Please comment or provide details below to improve the information on THREE RIVERS CLINIC 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.