MALTA FAMILY HEALTH CLINIC, PC (NPI# 1609133024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609133024 |
Entity Type | Organization |
Organization Name | MALTA FAMILY HEALTH CLINIC, PC |
Practice Address |
830 1/2 Central Ave Malta MT 59538 |
Mailing Address |
Po Box 39 Malta MT 59538-0039 |
Practice Telephone | 4066542000 |
Practice Fax Number | 4066542135 |
Mailing Telephone | 4066542000 |
Mailing Fax Number | 4066542135 |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |
Authorized Official Name | THAD E GIBLETTE (OWNER) |
Authorized Official Telephone | 4066542000 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
25089 | MT | Nursing Service Providers |
Street Address |
830 1/2 CENTRAL AVE |
City | MALTA |
State | MT |
Zip Code | 59538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831710979 | Elizabeth Jean Simpson | Physical Therapy Assistant | 801s 3rd St., Malta, MT 59538 | 2020-04-29 |
1447671359 | Kathie Rae Waters | Counselor | 47177 Us Hwy 2 West, Lower Level Suite 1, Malta, MT 59538 | 2013-12-18 |
1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
1053533471 | Phillips County Hospital Lab Xray | Clinical Medical Laboratory | 311 8th Ave So, Malta, MT 59538 | 2007-05-03 |
1972647717 | Malta Opportunities, Inc. | Day Training, Developmentally Disabled Services | 11 S 3rd St East, Malta, MT 59538 | 2007-02-16 |
1417091018 | Phillips County Hospital Assn | Home Health | 311 South 8th Ave East, Malta, MT 59538 | 2007-02-16 |
1356487201 | Edwin Medina | Family Medicine | 315 S 8th Ave. E, Malta, MT 59538 | 2007-01-29 |
1699843656 | Roger K Amundson | Chiropractor | 830 South Central Ave, Malta, MT 59538 | 2006-11-30 |
1972687937 | Valley Drug of Malta, Inc. | Durable Medical Equipment & Medical Supplies | 131 S 1st Ave E, Malta, MT 59538 | 2006-10-25 |
1699714352 | Phillips County Ambulance Service | Ambulance | 314 S 2nd W, Malta, MT 59538 | 2006-06-06 |
Find all providers in zip 59538 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650849 | Mark Nistico | Registered Nurse | 23 Mayapple Way, Malta, NY 12020-4390 | 2020-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033298427 | Sandy Appleby | Registered Nurse | 2411 W Main St Ste 1a, Bozeman, MT 59718-3815 | 2006-11-04 |
1588274575 | Patricia Heide | Registered Nurse | 669 Agency Main St, Harlem, MT 59526-9455 | 2020-08-04 |
1912489949 | Angela Sioux | Registered Nurse | 100 Eaglefeathers Street, Lame Deer, MT 59043 | 2018-09-06 |
1114405487 | Janet Nordrum | Registered Nurse | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-07-30 |
1093212839 | Rachel Marie Brewer | Registered Nurse | 150 Commons Way, Kalispell, MT 59901-1910 | 2018-04-09 |
1689199341 | Melany Rostocki Gardner | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2017-08-03 |
1992125884 | Charles Bratsky | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-04-18 |
1750656419 | Jamie Marie Oats-swan | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2012-03-14 |
1861761967 | Max Garrison Mitchell | Registered Nurse | 107 H Street, Poplar, MT 59255-0067 | 2011-12-19 |
1689829996 | Molly Jean Jones | Registered Nurse | 100 Cheyenne Ave., Lamedeer, MT 59043 | 2008-12-01 |
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.