LAKESIDE WELLNESS PC


Address: 77 Deer Cr Rd, Suite B, Somers, MT 59932
Phone: 4067553751

LAKESIDE WELLNESS PC (NPI# 1306276035) 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) 1306276035
Entity Type Organization
Organization Name LAKESIDE WELLNESS PC
Practice Address 77 Deer Cr Rd
Suite B
Somers
MT 59932
Mailing Address Po Box 848
Lakeside
MT 59922-0848
Practice Telephone 4067553751
Mailing Telephone 4067553751
Enumeration Date 2013-11-15
Last Update Date 2013-11-15
Authorized Official Name MS. JILL B RIPLEY (OWNER)
Authorized Official Telephone 4067553751
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
10172 MT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DEA MR2009517 01

Office Location

Street Address 77 DEER CR RD
SUITE B
City SOMERS
State MT
Zip Code 59932

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487124913 Ariane Nicole Waller Social Worker 1543 Mackinaw Loop, Somers, MT 59932 2018-11-27
1699872010 Suzanne C Gullotta Nurse Practitioner 77 Deer Creek Road, Somers, MT 59932 2006-09-20
1962401372 Suzanne C Gullotta Nurse Practitioner 77 Deer Creek Rd, Somers, MT 59932 2005-07-18
1528288149 County of Flathead School District 29 Local Education Agency (LEA) 315 School Edition Road, Somers, MT 59932-0159 2007-04-26
1699872986 Denise Lynn Davies Specialist 113 Pavillion Hill Rd, Somers, MT 59932-0186 2006-09-20
1053665091 Lakeside Clinic P.C. Clinic/Center 77 Deer Creek Rd, Somers, MT 59932-8000 2012-10-30
1790223162 Nicole Lea Roberts Counselor 401 S Eighty Dr, Somers, MT 59932-8501 2017-02-06
1730261777 Myia L Powers Counselor 375 N Juniper Bay Rd, Somers, MT 59932-9739 2006-10-19

Providers in the same city

NPI Name Taxonomy Address Enumeration
1265052724 Paul A Barakat Physical Therapist 2811, 189 Ny-100, Somers, NY 10589 2020-04-24
1962040402 John Steven Caswell Hearing Instrument Specialist 11 Maple Ridge Dr, Somers, CT 06071-1501 2019-12-16
1255978243 Lucia Francesca Moore Physical Therapist 325 Route 100 # 106, Somers, NY 10589-3227 2019-12-09
1295372456 Vincent Orlando Jr. Physical Therapist 325 Route 100 Ste 106, Somers, NY 10589-3227 2019-12-06
1528616505 Jessica Leah Ware Counselor 73a Main St, Somers, CT 06071-1836 2019-09-03
1629626478 Jacqueline Cavuoto Early Intervention Provider Agency 96 Mitchell Rd, Somers, NY 10589-1801 2019-08-26
1770046682 Zahira Cortez Licensed Practical Nurse 5 Lee Rd, Somers, NY 10589-2603 2019-04-08
1487112819 Carolyn Constance Greenfield Midwife 76 Billings Rd, Somers, CT 06071-1924 2019-03-05
1285191437 Kathryn Michelle Pojer Counselor 380 Heritage Hls Unit D, Somers, NY 10589-4099 2019-02-25
1710441043 Maureen G Karoglanian Psychologist 38 Stonehouse Rd, Somers, NY 10589-2510 2019-01-31
Find all providers in SOMERS

Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
1649754300 Native American Development Corporation Clinic/Center 1230 North 30th Street, Billings, MT 59102 2018-09-19
1053628859 Gabert Medical Services, Inc Clinic/Center 312 S Adams Ave, Terry, MT 59349-0156 2010-09-01
1154556058 Garth Chiropractic, P.C. Clinic/Center 6475 Hwy 93 S Ste 56, Whitefish, MT 59937-8265 2009-05-20
1619113008 Pfister Physical Therapy, PC Clinic/Center 144 2nd St E, Whitefish, MT 59937-2402 2009-01-06
1598810186 Blackfoot Valley Medical Services Corporation Clinic/Center Highway 200 West, Lincoln, MT 59639 2007-01-24
1043229776 Fallon Medical Complex Inc Clinic/Center 710 Drake Street, Wibaux, MT 59353 2006-08-05
1518902881 Rose Osteopathic Clinic, Inc. Clinic/Center 54699 Hillside Rd, St Ignatius, MT 59865-8915 2006-06-19
1003869710 Ims, LLC Dba Miles City Medical Clinic Clinic/Center 2000 Clark St, Miles City, MT 59301-2726 2006-05-17
1992360614 Activated Life Chiropractic and Wellness Pllc Clinic/Center 1301 12th Ave S Ste 203, Great Falls, MT 59405-4600 2019-05-08
1417425976 Wright Choice, LLC Clinic/Center 601 W Villard St, Bozeman, MT 59715-3443 2018-11-02
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Competitor

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City SOMERS
Zip Code 59932

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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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