PONDERA MEDICAL CENTER (NPI# 1265425854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265425854 |
| Entity Type | Organization |
| Organization Name | PONDERA MEDICAL CENTER |
| Practice Address |
805 Sunset Blvd Conrad MT 59425-1717 |
| Mailing Address |
805 Sunset Blvd P O Box 758 Conrad MT 59425-1717 |
| Practice Telephone | 4062713211 |
| Practice Fax Number | 4062713917 |
| Mailing Telephone | 4062713211 |
| Mailing Fax Number | 4062713917 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | WAYNE OGBURN (CEO) |
| Authorized Official Telephone | 4062713211 |
| Is Organization Subpart | Y |
| Parent Organization Name | PONDERA MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 9650 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS OF MT | 40292 | 01 |
| MT | 0310232 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461703 | Pondera Medical Center | Clinic/Center | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2005-10-20 |
| 1467445049 | Pondera Medical Center | General Acute Care Hospital | 805 Sunset Boulevard, Conrad, MT 59425-0758 | 2005-08-29 |
| 1790803765 | Pondera Medical Center | Ambulance | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2007-03-27 |
| 1114098746 | Pondera Medical Center | Medicare Defined Swing Bed Unit | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-13 |
| 1487724399 | Pondera Medical Center | Physician Assistant | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-11-08 |
| 1245319201 | Pondera Medical Center | Anesthesiology | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-02 |
| 1326138579 | Pondera Medical Center | Clinic/Center | 19 1st St Ne, Choteau, MT 59422 | 2006-10-16 |
| 1710901194 | Pondera Medical Center | Clinic/Center | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2006-07-27 |
| 1962492694 | Pondera Medical Center | Durable Medical Equipment & Medical Supplies | 805 Sunset Blvd, Conrad, MT 59425-1721 | 2005-10-25 |
| 1699765552 | Pondera Medical Center | Home Health | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PONDERA MEDICAL CENTER | 805 Sunset Blvd, Conrad, MT 59425-1721 |
| Street Address |
805 SUNSET BLVD |
| City | CONRAD |
| State | MT |
| Zip Code | 59425-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859156 | Stephanie Sue Keil | Speech-Language Pathologist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2020-04-10 |
| 1497308241 | Erin Knepple | Dietitian, Registered | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2019-07-22 |
| 1952954141 | Heather Johns | Nurse Practitioner | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2019-07-17 |
| 1568973857 | Bethanie Nicole Funderburk | Physical Therapist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2017-10-13 |
| 1396181061 | Kellie Michelle Vaneyk | Occupational Therapy Assistant | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2013-05-21 |
| 1699044693 | Charlene Kay Bouma | Community Health Worker | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2011-12-20 |
| 1841443488 | Vann L Lovett | Dietitian, Registered | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2008-10-28 |
| 1942469739 | Jamyne Oudra Richardson | Physical Therapist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2008-06-05 |
| 1790803765 | Pondera Medical Center | Ambulance | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2007-03-27 |
| 1114098746 | Pondera Medical Center | Medicare Defined Swing Bed Unit | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1073675351 | Pondera County | Public Health or Welfare | 311 S. Virginia Street, Suite 1, Conrad, MT 59425 | 2006-12-14 |
| 1609956200 | Jesse T Parks | Pharmacist | 600 South Main, Ste 2, Conrad, MT 59425 | 2006-10-17 |
| 1902992159 | Julie Laine Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1962511154 | Sunset Dental Care PC | Durable Medical Equipment & Medical Supplies | 417 2nd Ave Sw, Conrad, MT 59425 | 2006-08-30 |
| 1588087225 | Steven D. Baliko | Counselor | 600 S Main St, Conrad, MT 59425 | 2014-01-31 |
| 1932243524 | Rosalie Mccormick | Counselor | 315 S Main, Conrad, MT 59425 | 2007-02-16 |
| 1619063864 | Richard Joseph Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1912996935 | Peter Damian Barran | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425 | 2005-10-21 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| Find all providers in zip 59425 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356425300 | Oakview Inc | Skilled Nursing Facility | 511 E Center St, Conrad, IA 50621-2013 | 2006-10-25 |
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| 1770047581 | Lakeview Assisted Living LLC | Skilled Nursing Facility | 7437 Castle Rock Lake Dr, Colstrip, MT 59323-9533 | 2019-01-25 |
| 1124426283 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17 Th Ave South, Great Falls, MT 59405 | 2014-12-05 |
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1912189572 | Northeast Montana Health Services,inc | Skilled Nursing Facility | 1000 6th Ave N, Wolf Point, MT 59201-1828 | 2007-12-05 |
| 1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1386790160 | Cnh Acquisitions Inc. | Skilled Nursing Facility | 3131 Amherst Ave, Butte, MT 59701-4653 | 2007-01-26 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1538248067 | Blackfeet Tribe | Skilled Nursing Facility | South Government Square, South Government Square, Browning, MT 59417-0728 | 2006-11-03 |
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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.