PONDERA MEDICAL CENTER (NPI# 1699765552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699765552 |
| Entity Type | Organization |
| Organization Name | PONDERA MEDICAL CENTER |
| Other Organization Name | PONDERA HOME HEALTH AGENCY |
| Practice Address |
805 Sunset Blvd Conrad MT 59425-1717 |
| Mailing Address |
Po Box 758 Conrad MT 59425-0758 |
| Practice Telephone | 4062713211 |
| Mailing Telephone | 4062713211 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | WAYNE OGBURN (CEO) |
| Authorized Official Telephone | 4062713211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 10050 | MT | Agencies |
| Other Name | Type Code |
|---|---|
| PONDERA HOME HEALTH AGENCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461703 | Pondera Medical Center | Clinic/Center | 809 Sunset Blvd, Conrad, MT 59425-1799 | 2005-10-20 |
| 1265425854 | Pondera Medical Center | Skilled Nursing Facility | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-08-30 |
| 1467445049 | Pondera Medical Center | General Acute Care Hospital | 805 Sunset Boulevard, Conrad, MT 59425-0758 | 2005-08-29 |
| 1790803765 | Pondera Medical Center | Ambulance | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2007-03-27 |
| 1114098746 | Pondera Medical Center | Medicare Defined Swing Bed Unit | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-13 |
| 1487724399 | Pondera Medical Center | Physician Assistant | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-11-08 |
| 1245319201 | Pondera Medical Center | Anesthesiology | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-02 |
| 1326138579 | Pondera Medical Center | Clinic/Center | 19 1st St Ne, Choteau, MT 59422 | 2006-10-16 |
| 1710901194 | Pondera Medical Center | Clinic/Center | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2006-07-27 |
| 1962492694 | Pondera Medical Center | Durable Medical Equipment & Medical Supplies | 805 Sunset Blvd, Conrad, MT 59425-1721 | 2005-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PONDERA MEDICAL CENTER | 805 Sunset Blvd, Conrad, MT 59425-1721 |
| Street Address |
805 SUNSET BLVD |
| City | CONRAD |
| State | MT |
| Zip Code | 59425-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265425854 | Pondera Medical Center | Skilled Nursing Facility | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-08-30 |
| 1245859156 | Stephanie Sue Keil | Speech-Language Pathologist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2020-04-10 |
| 1497308241 | Erin Knepple | Dietitian, Registered | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2019-07-22 |
| 1952954141 | Heather Johns | Nurse Practitioner | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2019-07-17 |
| 1568973857 | Bethanie Nicole Funderburk | Physical Therapist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2017-10-13 |
| 1396181061 | Kellie Michelle Vaneyk | Occupational Therapy Assistant | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2013-05-21 |
| 1699044693 | Charlene Kay Bouma | Community Health Worker | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2011-12-20 |
| 1841443488 | Vann L Lovett | Dietitian, Registered | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2008-10-28 |
| 1942469739 | Jamyne Oudra Richardson | Physical Therapist | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2008-06-05 |
| 1790803765 | Pondera Medical Center | Ambulance | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1073675351 | Pondera County | Public Health or Welfare | 311 S. Virginia Street, Suite 1, Conrad, MT 59425 | 2006-12-14 |
| 1609956200 | Jesse T Parks | Pharmacist | 600 South Main, Ste 2, Conrad, MT 59425 | 2006-10-17 |
| 1902992159 | Julie Laine Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1962511154 | Sunset Dental Care PC | Durable Medical Equipment & Medical Supplies | 417 2nd Ave Sw, Conrad, MT 59425 | 2006-08-30 |
| 1588087225 | Steven D. Baliko | Counselor | 600 S Main St, Conrad, MT 59425 | 2014-01-31 |
| 1932243524 | Rosalie Mccormick | Counselor | 315 S Main, Conrad, MT 59425 | 2007-02-16 |
| 1619063864 | Richard Joseph Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1912996935 | Peter Damian Barran | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425 | 2005-10-21 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| Find all providers in zip 59425 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605322 | Amber E Gates | Home Health | 206 Clark St, Deer Lodge, MT 59722-1122 | 2020-06-30 |
| 1932724960 | Tahj B Kjelland | Home Health | 1580 Milwaukee Way, Missoula, MT 59801-3006 | 2020-06-16 |
| 1164068581 | Nodie Kay Bishop | Home Health | 1160 N. Water St., Darby, MT 59829-9622 | 2019-11-20 |
| 1649812108 | Carrie A Swanson | Home Health | 3075 Avenue C Apt 302, Billings, MT 59102-8104 | 2019-10-16 |
| 1639649387 | Saddle Mountain Home Care | Home Health | 119 W Callender St, Livingston, MT 59047-2615 | 2018-11-26 |
| 1750871240 | S and S Home Care | Home Health | 1536 Yellowstone Ave Apt A, Billings, MT 59102-4161 | 2018-05-10 |
| 1467980391 | Gail Sandifer | Home Health | 94025 Mt Highway 2, Three Forks, MT 59752-8990 | 2017-05-23 |
| 1427585512 | Lisa Schmitz | Home Health | 880 Motsiff Rd, Helena, MT 59602-7241 | 2017-05-19 |
| 1699202051 | Jason Pettit | Home Health | 705 E 6th Ave, Helena, MT 59601-4381 | 2017-05-16 |
| 1003362526 | Jacqueline Eaton | Home Health | 596 Hollow Ln, Bigfork, MT 59911-6325 | 2016-08-26 |
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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.