LINCOLN COUNTY COMMUNITY HEALTH CENTER, INC (NPI# 1417243213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417243213 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | NORTHWEST COMMUNITY HEALTH CENTER |
| Practice Address |
206 Callahan Rd Troy MT 59935 |
| Mailing Address |
320 E 2nd St Libby MT 59923-2010 |
| Practice Telephone | 4062958318 |
| Practice Fax Number | 4062951041 |
| Mailing Telephone | 4062933755 |
| Mailing Fax Number | 4062936622 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | MARIA CLEMONS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4062933755 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COUNTY COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwest Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568759256 | Lincoln County Community Health Center, Inc | Clinic/Center | 150 Education Way, Libby, MT 59923-2816 | 2011-07-01 |
| 1477840155 | Lincoln County Community Health Center, Inc | Clinic/Center | 211 E 2nd St, Libby, MT 59923-2047 | 2011-07-01 |
| Street Address |
206 CALLAHAN RD |
| City | TROY |
| State | MT |
| Zip Code | 59935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013417765 | Katharine Pfeifer | Dental Hygienist | 102 Sandalwood Court, Troy, MT 59935 | 2018-02-20 |
| 1033667530 | Michael Wells | Pharmacist | 611 East Missoula Ave., Troy, MT 59935 | 2016-09-14 |
| 1053796680 | Shayna Wilson Massage | Health Maintenance Organization | 304 North 2nd Street, Troy, MT 59935 | 2015-07-24 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1043547383 | Family Solutions Network, Inc. | Substance Abuse Rehabilitation Facility | 31733 South Fork Rd, Troy, MT 59935 | 2009-11-06 |
| 1952634032 | Terri Z Revell | Technician, Other | 101 N Kootenai Dr, Troy, MT 59935 | 2009-09-08 |
| 1588834279 | Medicine Tree Primary Care Inc | Clinic/Center | 318 E Kootenai Ave, Troy, MT 59935 | 2008-03-10 |
| 1407907074 | Connie Boyd | Nurse Practitioner | 318 Kootenai, Troy, MT 59935 | 2007-01-12 |
| 1336173814 | Steven R Mendive | Dentist | 206 Callahan Avenue, Troy, MT 59935 | 2006-07-10 |
| 1912940297 | Kootenai Drug and Hardware Inc | Pharmacy | 611 E Missoula Ave, Troy, MT 59935 | 2006-06-14 |
| Find all providers in zip 59935 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
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| 1750926762 | Partnership Health Center Inc | Clinic/Center | 901 S 6th St W, Missoula, MT 59801-3752 | 2019-11-13 |
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 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.