MEDICINE TREE PRIMARY CARE INC (NPI# 1588834279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588834279 |
| Entity Type | Organization |
| Organization Name | MEDICINE TREE PRIMARY CARE INC |
| Practice Address |
318 E Kootenai Ave Troy MT 59935 |
| Mailing Address |
Po Box 3007 Troy MT 59935-3007 |
| Practice Telephone | 4062955752 |
| Practice Fax Number | 4062950314 |
| Mailing Telephone | 4062955752 |
| Mailing Fax Number | 4062950314 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | MRS. CONNIE BOYD (CEO/PRESIDIENT) |
| Authorized Official Telephone | 4062955752 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | D107540 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | RAILROAD MEDICARE | 500024254 | 01 |
| Street Address |
318 E KOOTENAI AVE |
| 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 |
| 1417243213 | Lincoln County Community Health Center, Inc | Clinic/Center | 206 Callahan Rd, Troy, MT 59935 | 2011-06-21 |
| 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 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1104303924 | Priority One Medical Care Pllc | Clinic/Center | 938 S Sanders Rd, Troy, TN 38260-3841 | 2018-07-24 |
| 1982181848 | Ec Concepts Group LLC | Clinic/Center | 912 E Big Beaver Rd, Troy, MI 48083-1410 | 2018-07-24 |
| 1972098895 | Somerset Walk In Clinic Pllc | Clinic/Center | 1500 W Big Beaver Rd Ste 104, Troy, MI 48084-3522 | 2018-06-22 |
| 1457669871 | Troy Regional Physicians Inc | Clinic/Center | 1320 Highway 231 South, Suite 1, Troy, AL 36081 | 2010-09-20 |
| 1356508907 | Agape Womens Health Plc | Clinic/Center | 575 E Maple Rd, Suite B, Troy, MI 48083-2827 | 2008-05-21 |
| 1932376993 | Jefrey Fishman, M.d. P.C. | Clinic/Center | 1777 Axtell Dr Ste 200, Troy, MI 48084-4435 | 2008-05-09 |
| 1841349511 | M Amin Zaman Md Sc | Clinic/Center | 500 Ohara Dr Ste 120, Troy, IL 62294-2316 | 2007-01-10 |
| 1346207131 | Charles Henderson Memorial Association | Clinic/Center | 1300 Highway 231 S, Troy, AL 36081-3058 | 2006-04-27 |
| 1598385551 | Vantage Point Group, LLC | Clinic/Center | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-04-20 |
| Find all providers in TROY | ||||
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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.