TERRY A. SMITH M.C.P.C. (NPI# 1932395084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932395084 |
| Entity Type | Organization |
| Organization Name | TERRY A. SMITH M.C.P.C. |
| Other Organization Name | PONDEROSA MEDICAL CLINIC |
| Practice Address |
310 Spruce St Superior MT 59872-9680 |
| Mailing Address |
310 Spruce St Po Box 340 Superior MT 59872-9680 |
| Practice Telephone | 4068224100 |
| Mailing Telephone | 4068224100 |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | DR. TERRY ALLEN SMITH (OWNER) |
| Authorized Official Telephone | 4068224100 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 7350 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0066521 | 05 | |
| MT | BLUE CROSS BLUE SHIELD | 97711 | 01 |
| Other Name | Type Code |
|---|---|
| ponderosa medical clinic | Doing Business As Name - Organization |
| Street Address |
310 SPRUCE ST |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1730600131 | Teachworth Chiropractic LLC | Clinic/Center | 3056 Highway 14, Superior, NE 68978-5001 | 2017-07-06 |
| 1205253325 | The Duluth Clinic, Ltd. | Clinic/Center | 2202 East 2nd Street, Suite 377, Superior, WI 54880-3709 | 2014-03-26 |
| 1356977185 | Denver Eye Care Specialists | Clinic/Center | 400 Marshall Rd, Superior, CO 80027-8623 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423185 | Rising Phoenix Counseling Solutions | Clinic/Center | 210 N Higgins Ave Ste 222, Missoula, MT 59802-4443 | 2020-10-03 |
| 1790327302 | Cosmos Therapy Solutions, LLC | Clinic/Center | 715 Kensington Ave Ste 14, Missoula, MT 59801-5700 | 2019-10-15 |
| 1902448897 | Livingston Healthcare | Clinic/Center | 1429 W Montana St, Livingston, MT 59047-1530 | 2019-10-11 |
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| 1467006049 | Livingston Healthcare | Clinic/Center | 102 View Vista Dr, Livingston, MT 59047-3528 | 2019-07-31 |
| 1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1295214294 | Wholistic Healing | Clinic/Center | 104 Main St Sw, Ronan, MT 59864-2703 | 2018-08-09 |
| 1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
| 1295254621 | Casterline Family Chiropractic LLC | Clinic/Center | 54171 Us Highway 2, Glasgow, MT 59230-1544 | 2017-09-18 |
| 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.