COTTONWOOD CLINIC, LLC (NPI# 1306262803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306262803 |
| Entity Type | Organization |
| Organization Name | COTTONWOOD CLINIC, LLC |
| Practice Address |
310 Main St Deer Lodge MT 59722-1000 |
| Practice Telephone | 4068464275 |
| Practice Fax Number | 4068467278 |
| Mailing Telephone | 4068464275 |
| Mailing Fax Number | 4068467278 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | HEIDE L. APPLEGATE (OWNER) |
| Authorized Official Telephone | 4068464275 |
| Authorized Official Credential | APRN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25000 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
310 MAIN ST |
| City | DEER LODGE |
| State | MT |
| Zip Code | 59722-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750600375 | Deer Lodge Valley Therapy | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1000 | 2010-05-21 |
| 1780854927 | Deer Lodge Valley Therapy Clinic, Inc. | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1057 | 2008-03-04 |
| 1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
| 1487716734 | Ronda L Wangerin | Physical Therapist | 310 Main St, Deer Lodge, MT 59722-1057 | 2006-12-14 |
| 1255493516 | Donna N Mccarthy | Physical Therapist | 310 Main St, Deer Lodge, MT 59722-1057 | 2006-12-14 |
| 1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083937 | Summera Qamar | Family Medicine | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2011-07-11 |
| 1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
| 1700825478 | Powell County Ambulance Service Inc | Ambulance | 1101 Texas Ave, Deer Lodge, MT 59722 | 2006-06-06 |
| 1891159877 | Powell County Memorial Hospital Association Inc | General Acute Care Hospital | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2016-04-06 |
| 1891916318 | Kimberly J Stavlo | Speech-Language Pathologist | 310 Main Street, Deer Lodge, MT 59722 | 2007-05-01 |
| 1750393757 | Lori Lee Drumm | Family Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-08-12 |
| 1477734416 | Powell County Health Department | Clinic/Center | 304 Milwaukee Ave Ste 23, Deer Lodge, MT 59722-1035 | 2007-11-19 |
| 1306495056 | 406 Rx Pllc | Pharmacy | 407 Main St, Deer Lodge, MT 59722-1058 | 2019-09-05 |
| 1487741245 | Keystone Drug LLP | Pharmacist | 407 Main St, Deer Lodge, MT 59722-1058 | 2006-10-05 |
| 1578072443 | Angie Galetti | Pharmacist | 201 N Main St, Deer Lodge, MT 59722-1062 | 2017-09-23 |
| Find all providers in zip 59722 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114872 | Harold James Horine IIi | Nurse Practitioner | 43 Meadow Lark Ln, Deer Lodge, MT 59722-9540 | 2020-11-06 |
| 1083007637 | Paula Merry Christensen | Nurse Practitioner | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 | 2015-03-06 |
| 1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
| 1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110268 | Heidi Kearns | Nurse Practitioner | 1038 3rd Ave E, Kalispell, MT 59901-5642 | 2020-10-01 |
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1518571686 | Megan Gittings Fnp-c Pllc | Nurse Practitioner | 55 W 14th St Ste 102, Helena, MT 59601-3387 | 2020-09-04 |
| 1528672979 | Melanie Funke | Nurse Practitioner | 272 Aswan Pl, Billings, MT 59105-2910 | 2020-09-02 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1629697784 | Stephani Conner | Nurse Practitioner | 604 Pine Pl, Whitefish, MT 59937-2362 | 2020-04-09 |
| 1518590645 | William Todd Wohlman | Nurse Practitioner | 3458 Baldwin Rd, Stevensville, MT 59870-2904 | 2020-02-17 |
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| 1114588381 | Jaimee Gregoire | Nurse Practitioner | 1401 26th St S, Womens Health, Great Falls, MT 59405-5183 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
| City | DEER LODGE |
| Zip Code | 59722 |
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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.