GLENDIVE MEDICAL CENTER, INC (NPI# 1447260195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447260195 |
| Entity Type | Organization |
| Organization Name | GLENDIVE MEDICAL CENTER, INC |
| Other Organization Name | EASTERN MONTANA VETERAN'S HOME |
| Practice Address |
2000 Montana Ave Glendive MT 59330-3700 |
| Mailing Address |
202 Prospect Dr Glendive MT 59330-1943 |
| Practice Telephone | 4063458855 |
| Practice Fax Number | 4063458121 |
| Mailing Telephone | 4063453306 |
| Mailing Fax Number | 4063453358 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | WILLIAM ROBINSON (VP OF FINANCIAL SERVICES) |
| Authorized Official Telephone | 4063458924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0348530 | 05 | |
| MT | BLUE CROSS OT | 000082 | 01 |
| Other Name | Type Code |
|---|---|
| EASTERN MONTANA VETERAN'S HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659487445 | Glendive Medical Center, Inc | Assisted Living Facility | 1313 N Merrill Ave, Glendive, MT 59330-1900 | 2006-08-22 |
| 1174836506 | Glendive Medical Center, Inc | Hospitalist | 202 Prospect Dr, Glendive, MT 59330-1943 | 2010-07-14 |
| 1437317344 | Glendive Medical Center, Inc | Radiology | 202 Prospect Dr, Glendive, MT 59330-1943 | 2008-05-28 |
| 1275603953 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-09 |
| 1205905502 | Glendive Medical Center, Inc | Pharmacy | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-11-08 |
| 1215040449 | Glendive Medical Center, Inc | Clinic/Center | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-08-15 |
| 1700896941 | Glendive Medical Center, Inc | Skilled Nursing Facility | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-09 |
| 1073523635 | Glendive Medical Center, Inc | Medicare Defined Swing Bed Unit | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| 1366452955 | Glendive Medical Center, Inc | Hospice Care, Community Based | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| 1124038716 | Glendive Medical Center, Inc | Emergency Medicine | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| Street Address |
2000 MONTANA AVE |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1710997465 | Glendive Medical Center, Inc | Skilled Nursing Facility | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-08-08 |
| 1356351001 | Glendive Medical Center, Inc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-08-08 |
| 1174533822 | Glendive Medical Center, Inc | Durable Medical Equipment & Medical Supplies | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
| 1154651016 | Debra Linn | Speech-Language Pathologist | 14 Big Sky Drive, Glendive, MT 59330 | 2009-12-28 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 1770965972 | Nena Panasuk | Family Medicine | 107 Dilworth St, Glendive, MT 59330 | 2015-06-24 |
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1275593410 | Ft Reynolds | Pharmacy | 1014 W Bell St, Glendive, MT 59330-1502 | 2006-03-23 |
| 1346296266 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 307 Harmon St, Glendive, MT 59330-1510 | 2006-05-25 |
| 1275870909 | Steve Knoop | Pharmacist | 307 Harmon St, Glendive, MT 59330-1510 | 2013-01-15 |
| 1972030708 | Calkins Dental Office, LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2017-05-11 |
| 1598177115 | Matthew Don Calkins | Dentist | 116 N Meade Ave, Glendive, MT 59330-1604 | 2014-06-02 |
| Find all providers in zip 59330 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081883 | Garnet Therapies, LLC | Clinic/Center | 49775 Gallatin Rd, Suite 103a, Gallatin Gateway, MT 59730 | 2017-05-30 |
| 1104097351 | Grizzly Spine Pain and Rehab, PC | Clinic/Center | 3 Meridian Ct, Suite 2, Kalispell, MT 59901-4240 | 2008-03-17 |
| 1801092366 | Element Physical Therapy LLC | Clinic/Center | 2455 Dixon Ave, Ste A, Missoula, MT 59801-8219 | 2007-06-22 |
| 1356522833 | Mountain View Physical Therapy and Sports Injury Clinic, Inc | Clinic/Center | 908 8th Ave S, Great Falls, MT 59405 | 2007-11-26 |
| 1194910430 | Mosaic Inc | Clinic/Center | 11 W Main St, Suite 218, Belgrade, MT 59714-3700 | 2007-09-10 |
Please comment or provide details below to improve the information on GLENDIVE MEDICAL CENTER, INC.
| 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.