LINCOLN COUNTY COMMUNITY HEALTH CENTER INC (NPI# 1164894010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164894010 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY COMMUNITY HEALTH CENTER INC |
| Other Organization Name | NORTHWEST COMMUNITY HEALTH CENTER |
| Practice Address |
320 E 2nd St Libby MT 59923-2010 |
| Practice Telephone | 4062836979 |
| Practice Fax Number | 4062937233 |
| Mailing Telephone | 4062836979 |
| Mailing Fax Number | 4062937233 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | MARIA CLEMONS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4062836919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA-PHR-LIC-3347 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154975 | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Community Health Center | Doing Business As Name - Organization |
| Street Address |
320 E 2ND ST |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346231289 | Tony Albert Fantozzi | Physician Assistant | 320 E 2nd St, Libby, MT 59923-2010 | 2005-10-31 |
| 1962016543 | Carly Ann Huffman | Pharmacist | 320 E 2nd St, Libby, MT 59923-2010 | 2020-09-01 |
| 1952919607 | Kalene Colwell | Dentist | 320 E 2nd St, Libby, MT 59923-2010 | 2020-07-20 |
| 1700402567 | Jennifer Davis | Dental Hygienist | 320 E 2nd St, Libby, MT 59923-2010 | 2020-06-17 |
| 1073139846 | Naomi Nash | Dental Hygienist | 320 E 2nd St, Libby, MT 59923-2010 | 2020-06-17 |
| 1215452586 | Kayla A Nagy | Physician Assistant | 320 E 2nd St, Libby, MT 59923-2010 | 2017-08-08 |
| 1184155442 | Daniel Williams | Family Medicine | 320 E 2nd St, Libby, MT 59923-2010 | 2017-03-27 |
| 1215477013 | Jennifer Andersen | Social Worker | 320 E 2nd St, Libby, MT 59923-2010 | 2017-02-28 |
| 1881133205 | Elizabeth Ellen Wolsfelt | Pharmacist | 320 E 2nd St, Libby, MT 59923-2010 | 2017-02-17 |
| 1407220809 | Douglas Richardson | Counselor | 320 E 2nd St, Libby, MT 59923-2010 | 2015-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982821237 | Libby Drug P.c | Pharmacy | 906 Montana Ave, Libby, MT 59923-2014 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
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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.