MARIANNE M. WILSON (NPI# 1043385248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043385248 |
Entity Type | Organization |
Organization Name | MARIANNE M. WILSON |
Other Organization Name | GLACIER MEDICAL HOME HEALTH |
Practice Address |
802 2nd Street Se Cut Bank MT 59427 |
Practice Telephone | 4068732236 |
Practice Fax Number | 4068732867 |
Mailing Telephone | 4068732236 |
Mailing Fax Number | 4068732867 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2009-11-05 |
Authorized Official Name | MS. MARIANNE M. WILSON (OWNER DIRECTOR) |
Authorized Official Telephone | 4068732236 |
Authorized Official Credential | RNC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
013820809 | MD | Nursing Service Providers |
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN2262 | MT | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 740747 | 05 | |
MT | BLUE CROSS BLUE SHIELD | 7914000 | 01 |
Other Name | Type Code |
---|---|
Glacier Medical Home Health | Doing Business As Name - Organization |
Street Address |
802 2ND STREET SE |
City | CUT BANK |
State | MT |
Zip Code | 59427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518084284 | Kathleen Egan Egan Broere | Counselor | 60 Loring Rd., Cut Bank, MT 59427 | 2007-03-26 |
1356341051 | Glacier Care Center, Inc. | Assisted Living Facility | 707 3rd St Se, Cut Bank, MT 59427 | 2005-07-26 |
1386826154 | Henry Fritz Thies | Pharmacist | 601 West Main Street, Cut Bank, MT 59427 | 2007-12-03 |
1598393555 | Ideal Balance Pllc | Community/Behavioral Health | 615 W Main St, Cut Bank, MT 59427-2802 | 2020-03-27 |
1801342118 | Aaron Van Wagoner | Physical Therapist | 615 W Main St, Cut Bank, MT 59427-2802 | 2016-08-27 |
1407843337 | Ronald R Campbell | Pharmacist | 601 W Main St, Cut Bank, MT 59427-2804 | 2005-10-05 |
1881605392 | Drugmart Inc | Pharmacy | 601 W Main St, Northern Village Mall, Cut Bank, MT 59427-2804 | 2006-08-10 |
1487253027 | Shreya Patel | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-10-24 |
1265046478 | Quinn Allen Spinler | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-09-04 |
1740641992 | Gary Prescott | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2016-03-16 |
Find all providers in zip 59427 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114217601 | Jeanne Marie Biebinger | Registered Nurse | 1624 Wyoming St, Missoula, MT 59801-1528 | 2011-04-18 |
1275616856 | Butte-silver Bow Consolidated Governments | Registered Nurse | 25 W Front St, Butte, MT 59701-2801 | 2006-10-24 |
1720586449 | Bridget Mary Boudreaux | Registered Nurse | 116 N 9th St, Hamilton, MT 59840-2326 | 2018-01-28 |
1427341916 | Denelle Pappier | Registered Nurse | 1624 Wyoming St, Missoula, MT 59801-1528 | 2011-05-17 |
1154613263 | Carolyn Louise Thornton | Registered Nurse | 1624 Wyoming St, Missoula, MT 59801-1528 | 2011-05-08 |
Please comment or provide details below to improve the information on MARIANNE M. WILSON.
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.