MAVIS DILLMAN (NPI# 1407227655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407227655 |
| Entity Type | Individual |
| Full Name | MAVIS DILLMAN |
| Practice Address |
1069 Grant Dr Great Falls MT 59404-6222 |
| Practice Telephone | 4065647049 |
| Mailing Telephone | 4065647049 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
920112 | MT | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 920112 | MT | Nursing Service Related Providers |
| Street Address |
1069 GRANT DR |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573643 | Janet Marie Mohler | Technician | 145 Parkridge Dr, Kalispell, MT 59901-2596 | 2020-06-23 |
| 1598306110 | Trina Dawn Zak | Technician | 1227 Blue Slide Rd., Thompson Falls, MT 59873 | 2019-10-04 |
| 1164716684 | Paula Denise Dickson | Technician | 3165 Eastview Rd, East Helena, MT 59635-3042 | 2011-06-01 |
| 1912236621 | Mary Jean Mcwhorter | Technician | 2103 Gold Rush Ave, Helena, MT 59601-5863 | 2009-12-09 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1477104792 | Shalae Herbert Jessop | Technician | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-09-27 |
| 1700313525 | Amira Bolden | Technician | 607 Sw Higgins Ave, 607 Sw Higgins, Missoula, MT 59803-1468 | 2017-05-11 |
| 1467989285 | Ciara Gilchrist | Technician | 607 Sw Higgins Ave, 607 Sw Higgins, Missoula, MT 59803-1468 | 2017-05-11 |
| 1578687752 | Nightingale Nursing Services, Inc | Technician | 100 Consumer Direct Way, Missoula, MT 59808-5037 | 2007-03-16 |
| City | GREAT FALLS |
| Zip Code | 59404 |
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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.