INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC (NPI# 1861616674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861616674 |
| Entity Type | Organization |
| Organization Name | INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC |
| Other Organization Name | INDIAN FAMILY HEALTH CLINIC |
| Practice Address |
1220 Central Avenue Suite 2b Great Falls MT 59401 |
| Mailing Address |
1220 Central Avenue Suite 1b and 2b Great Falls MT 59401 |
| Practice Telephone | 4062681510 |
| Practice Fax Number | 4062681914 |
| Mailing Telephone | 4062681510 |
| Mailing Fax Number | 4062681914 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM A MARTIN (EXECUTIVE DIRECTOR ACTING) |
| Authorized Official Telephone | 4062681510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 19935 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 24541 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Indian Family Health Clinic | Other Name - Individual/Organization |
| Street Address |
1220 CENTRAL AVENUE SUITE 2B |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407347 | Gina Cotton Hansen | Nurse Practitioner | 401 15th Ave S Ste 205, Great Falls, MT 59405-4334 | 2014-08-08 |
| 1811098981 | Kathy Palm Jorgensen | Nurse Practitioner | 211 9th St S, Great Falls, MT 59401 | 2006-09-25 |
| 1245237809 | Nicole Andrea Hanson | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2005-06-28 |
| 1457357980 | Cindy J Simpkins | Nurse Practitioner | 1400 29th Street South, Great Falls, MT 59405 | 2005-06-21 |
| 1811469935 | Eric Sievers | Nurse Practitioner | 25 14th Ave Nw, Great Falls, MT 59404-1954 | 2018-12-31 |
| 1831685247 | Russell R Herring | Nurse Practitioner | 1600 Division Rd, Great Falls, MT 59404-1921 | 2018-07-09 |
| 1982106183 | Janea Caprice Ann Hovik | Nurse Practitioner | 211 9th St S, Great Falls, MT 59405 | 2018-03-02 |
| 1982121760 | Melanie Marie Brown | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-08-23 |
| 1144743097 | Zeth Justin Holbert | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2017-07-24 |
| 1962959932 | Judy L Rosales | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2016-09-07 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC.
| 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.