RUSSELL CHARLES MOTSCHENBACHER


Address: 1601 2nd Ave N, Suite 650, Great Falls, MT 59401-3259
Phone: 4067886123

RUSSELL CHARLES MOTSCHENBACHER (NPI# 1992051064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992051064
Entity Type Individual
Full Name RUSSELL CHARLES MOTSCHENBACHER
Credential APRN
Practice Address 1601 2nd Ave N
Suite 650
Great Falls
MT 59401-3259
Mailing Address Po Box 2151
Great Falls
MT 59403-2151
Practice Telephone 4067886123
Mailing Telephone 4067886123
Enumeration Date 2012-07-26
Last Update Date 2013-01-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
22956 MT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1601 2ND AVE N
SUITE 650
City GREAT FALLS
State MT
Zip Code 59401-3259

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1972975696 Cheryl A. Basta Counselor 1601 2nd Ave N, Suite 200 D, Great Falls, MT 59401-3259 2015-10-21
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NPI Name Taxonomy Address Enumeration
1578025375 Stacy A Mckittrick Counselor 26 4th St S, Great Falls, MT 59401 2019-04-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City GREAT FALLS
Zip Code 59401

Improve Information

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Dataset Information

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.

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