PONDERA MEDICAL CENTER (NPI# 1326138579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326138579 |
| Entity Type | Organization |
| Organization Name | PONDERA MEDICAL CENTER |
| Other Organization Name | CHOTEAU CLINIC |
| Practice Address |
19 1st St Ne Choteau MT 59422 |
| Mailing Address |
Po Box 758 Conrad MT 59425-0758 |
| Practice Telephone | 4062713211 |
| Practice Fax Number | 4062713917 |
| Mailing Telephone | 4062713211 |
| Mailing Fax Number | 4062717661 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MARK JONES (C.O.O.) |
| Authorized Official Telephone | 4062713211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Choteau Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461703 | Pondera Medical Center | Clinic/Center | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2005-10-20 |
| 1265425854 | Pondera Medical Center | Skilled Nursing Facility | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-08-30 |
| 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 |
| 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 |
19 1ST ST NE |
| City | CHOTEAU |
| State | MT |
| Zip Code | 59422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454884 | Caralynn Faye Moore | Nurse Practitioner | 19 1st St Ne, Choteau, MT 59422-9275 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518117985 | John H Schieffelbein | Social Worker | 19 3rd Street Northeast, Center for Mental Health, Choteau, MT 59422 | 2008-09-23 |
| 1649492588 | David Binns Selander | Dentist | 23 7th Avenue Nw, Choteau, MT 59422 | 2007-05-02 |
| 1750438909 | Choteau Activities Inc | Day Training, Developmentally Disabled Services | 109 Main Avenue North, Choteau, MT 59422 | 2007-01-03 |
| 1053379289 | County of Teton | Ambulance | Hwy 89 County Courthouse, Choteau, MT 59422 | 2006-05-04 |
| 1871556613 | Judy E Borland | Family Medicine | 915 4th St. Nw, Choteau, MT 59422 | 2006-04-11 |
| 1598756322 | County of Teton | Nursing Facility/Intermediate Care Facility | 24 Main Ave N, Choteau, MT 59422 | 2005-11-01 |
| 1760478069 | Douglas S Vandolah | Chiropractor | 30 N Main Ave, Choteau, MT 59422 | 2005-09-22 |
| 1518307339 | Lucas Mccann Allen | Dentist | 15 1st St Ne, Choteau, MT 59422 | 2013-06-25 |
| 1255500740 | Choteau Drug, Inc | Durable Medical Equipment & Medical Supplies | 102 Main Ave North, Choteau, MT 59422-0040 | 2008-02-28 |
| 1376608216 | Choteau Drug, Inc | Pharmacy | 102 North Main Ave., Choteau, MT 59422-0040 | 2006-12-22 |
| Find all providers in zip 59422 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903296 | Gallatin Valley Ymca | Clinic/Center | 3673 Love Ln, Bozeman, MT 59718-4559 | 2019-03-25 |
| 1508944505 | Pondera Medical Center Dutton Clinic | Clinic/Center | 17 Main St West, Dutton, MT 59433 | 2006-11-01 |
| 1225502073 | Butte Silver Bow Primary Health Care Clinic Inc | Clinic/Center | 110 Oak St, Anaconda, MT 59711-2335 | 2019-01-15 |
| 1508211533 | Sears Holding Corporation | Clinic/Center | 1700 Cedar St, Helena, MT 59601-1108 | 2016-04-27 |
Please comment or provide details below to improve the information on PONDERA MEDICAL CENTER.
| 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.