BASIN MEDICAL CENTER (NPI# 1568581817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568581817 |
| Entity Type | Organization |
| Organization Name | BASIN MEDICAL CENTER |
| Practice Address |
76 Central Ave Stanford MT 59479-0370 |
| Mailing Address |
Po Box 370 Stanford MT 59479-0370 |
| Practice Telephone | 4065662773 |
| Mailing Telephone | 4065662773 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MRS. ROSEMARY G YOUDERIAN (SUPERVISOR) |
| Authorized Official Telephone | 4065662773 |
| Authorized Official Credential | RN CS FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICAID PHARMACY | 0214682 | 01 |
| Street Address |
76 CENTRAL AVE |
| City | STANFORD |
| State | MT |
| Zip Code | 59479-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437161411 | Central Montana Medical Facilities, Inc. | Clinic/Center | 76 Central Ave, Stanford, MT 59479 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093143778 | Sherry Berg | Physical Therapy Assistant | 215 3 South, Stanford, MT 59479 | 2013-10-16 |
| 1316116957 | Amber Adele Milburn | Chiropractor | 215 3rd Street South, Stanford, MT 59479 | 2008-02-28 |
| 1831169887 | Community Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 58 Central Ave, Stanford, MT 59479 | 2006-01-24 |
| 1679847016 | Central Montana Community Health Center, Inc. | Clinic/Center | 94 Central Avenue, Suite 3, Stanford, MT 59479-0000 | 2012-03-02 |
| 1770635336 | County of Judith Basin | Ambulance | 91 3rd Street North, Stanford, MT 59479-0427 | 2007-01-16 |
| 1306444252 | Central Montana Medical Facilities, Inc | Clinic/Center | 215 3rd St S, Stanford, MT 59479-9506 | 2020-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245066 | Craig Scott Moberley | Physical Therapist | 132 Frontier Blvd Ste 106, Stanford, KY 40484-6516 | 2020-11-08 |
| 1306444252 | Central Montana Medical Facilities, Inc | Clinic/Center | 215 3rd St S, Stanford, MT 59479-9506 | 2020-10-13 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1952916660 | Kelly Straight | Registered Nurse | 300 Pasteur Dr Unit C2, Stanford, CA 94305-2200 | 2020-09-10 |
| 1568075596 | Catiussi Hoffmann | Nurse Practitioner | 300 Pasteur Dr Fl 2, Stanford, CA 94305-2200 | 2020-08-28 |
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1467078253 | Sachindra Rayamajhi | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # Mc5633, Stanford, CA 94305-2200 | 2020-06-18 |
| 1548882392 | Loly Silalahi | Nurse Practitioner | 300 Pasteur Dr Rm A201c, Stanford, CA 94305-2200 | 2020-05-15 |
| Find all providers in STANFORD | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089745 | Stanford University Student Health Center Pharmacy | Pharmacy | 866 Campus Dr, Stanford, CA 94305-8580 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255361168 | Florence Community Pharmacy, Inc | Pharmacy | 5549 Old Us Highway 93, Florence, MT 59833-6545 | 2006-07-04 |
| 1952816621 | Pureview Health Center | Pharmacy | 1930 9th Ave, Helena, MT 59601-4759 | 2017-12-04 |
| 1710918842 | K Mart Corp | Pharmacy | 1700 Cedar St, Helena, MT 59601-1108 | 2006-07-06 |
| 1487681318 | St Peters Community Hospital | Pharmacy | 2475 E Broadway St, Helena, MT 59601-4928 | 2006-06-27 |
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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.