PREMIER CARE PEDIATRICS & FAMILY PRACTICE (NPI# 1972811420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972811420 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE PEDIATRICS & FAMILY PRACTICE |
| Practice Address |
1300 28th St S Suite 6 Great Falls MT 59405-5296 |
| Practice Telephone | 4064555437 |
| Practice Fax Number | 4064554365 |
| Mailing Telephone | 4064555437 |
| Mailing Fax Number | 4064554365 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | MRS. JILL SIMMONS (OFFICE MANAGER) |
| Authorized Official Telephone | 4064555437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN13634 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
8726 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0117062 | 05 |
| Street Address |
1300 28TH ST S SUITE 6 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472395 | Robert Zelman | Internal Medicine | 1300 28th St S, Suite 10, Great Falls, MT 59405-5296 | 2005-07-22 |
| 1912347691 | Marwan Bakhach | Pediatrics | 1300 28th St S, Great Falls, MT 59405-5296 | 2013-06-26 |
| 1881984227 | Emily Grant | Pediatrics | 1300 28th St S, Great Falls, MT 59405-5296 | 2011-04-19 |
| 1386876795 | Latoya Floyd | Psychiatry & Neurology | 1300 28th St S, Great Falls, MT 59405-5296 | 2009-08-18 |
| 1942444146 | John T Molloy Md Pllc | Internal Medicine | 1300 28th St S, Suite 3, Great Falls, MT 59405-5296 | 2009-05-01 |
| 1487822581 | Benefis Healthcare Practitioners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 28th St S, Suite 1, Great Falls, MT 59405-5296 | 2008-02-12 |
| 1740493808 | Great Falls Gastroenterology, LLC | Specialist | 1300 28th St S, Suite 3, Great Falls, MT 59405-5296 | 2007-05-07 |
| 1427199009 | Jason Gary Kjono | Physician Assistant | 1300 28th St S, Suite 4, Great Falls, MT 59405-5296 | 2007-02-08 |
| 1609951631 | Dale Michael Schaefer | Neurological Surgery | 1300 28th St S, Suite 7, Great Falls, MT 59405-5296 | 2006-10-26 |
| 1609965946 | Gerald D Spencer | Internal Medicine | 1300 28th St S, Suite 3, Great Falls, MT 59405 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386013423 | Golden Dragon Acupuncture | Clinic/Center | 1101 5th Ave N, Apt 10, Great Falls, MT 59401-4109 | 2015-09-18 |
| 1194854554 | Virginia Allergy & Pediatric Associates, P.C. | Clinic/Center | 10134 Colvin Run Rd, Suite D, Great Falls, VA 22066-1841 | 2007-03-03 |
| 1871789362 | Family Health Clinic LLC | Clinic/Center | 900 6th St Sw, Suite 2, Great Falls, MT 59404-3207 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134788185 | Pira Health LLC | Clinic/Center | 2825 Fort Missoula Rd Ste 201, Missoula, MT 59804-7403 | 2019-06-12 |
| 1629635115 | Country Home Medicine | Clinic/Center | 104 4th Street South, Plevna, MT 59344 | 2019-05-21 |
| 1386183622 | Theresa M. Kinney | Clinic/Center | 5820 N Montana Ave Trlr B1, Helena, MT 59602-6847 | 2017-02-20 |
| 1346691144 | Practice Health PC | Clinic/Center | 825 W Spruce St, Suite B, Missoula, MT 59802-3947 | 2016-06-23 |
| 1194183814 | Opulence Health, Pllc | Clinic/Center | 212 Lump Gulch Rd, Clancy, MT 59634-9770 | 2016-02-09 |
| 1811371917 | Randy J. Lovell, Do, II, PC | Clinic/Center | 341 Hwy135, Saint Regis, MT 59866-0176 | 2015-07-17 |
| 1639552235 | East Lakeside Clinic | Clinic/Center | 7935 Mt Highway 35 Ste 201, Bigfork, MT 59911-5711 | 2015-07-01 |
| 1831571074 | North Valley Hospital | Clinic/Center | 26 Kintla Way, Kalispell, MT 59901-6871 | 2015-06-24 |
| 1154664274 | River Valley Clinic, PC | Clinic/Center | 813 S Central Ave, Sidney, MT 59270-4940 | 2013-03-27 |
| 1942540356 | Micare, LLC | Clinic/Center | 2075 Overland Avenue, Billings, MT 59102 | 2013-02-21 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on PREMIER CARE PEDIATRICS & FAMILY PRACTICE.
| 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.