MONTANA VAMC (NPI# 1376599787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376599787 |
| Entity Type | Organization |
| Organization Name | MONTANA VAMC |
| Other Organization Name | KALISPELL VA CLINIC |
| Practice Address |
31 Three Mile Drive Kalispell MT 59901-3099 |
| Mailing Address |
Po Box 94451 Cleveland OH 44101-4451 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| KALISPELL VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| 1720039464 | Montana Vamc | Clinic/Center | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2006-05-15 |
| Street Address |
31 THREE MILE DRIVE |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| 1720039464 | Montana Vamc | Clinic/Center | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2006-05-15 |
| 1063463222 | Montana Vamc | Clinic/Center | 118 E 7th St, Anaconda, MT 59711-2900 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
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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.