DR. MARK ALLEN (NPI# 1720539406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720539406 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN |
| Credential | PT |
| Practice Address |
219 Deerfoot Trl Kalispell MT 59901-8725 |
| Practice Telephone | 4062709585 |
| Mailing Telephone | 4062709585 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | PTP-PT-LIC-1976 | MT | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942509559 | Mark Allen | Counselor | 1384 W Ellery Way, Fresno, CA 93711-2014 | 2011-03-22 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1134283765 | Mark S Allen | Dentist | 1716 Ashley Cir, Bowling Green, KY 42104-3366 | 2006-12-20 |
| 1952471617 | Mark Allen | Chiropractor | 434 S Green St, Henderson, KY 42420-3517 | 2006-11-09 |
| 1306934708 | Mark A. Allen | Chiropractor | 2525 California St, Suite A&b, Columbus, IN 47201-3678 | 2006-10-11 |
| 1467551549 | Mark H Allen | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2006-09-22 |
| 1295742013 | Mark Jay Allen | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2006-08-02 |
| 1700842549 | Mark Allen | Dentist | 151 North Main St, Hardwick, VT 05843 | 2006-04-21 |
| 1932187507 | Mark Daniel Allen | Nurse Practitioner | 1400 Willow Lane, Manchester, TN 37355 | 2006-01-04 |
| 1790768182 | Mark Erich Allen | Chiropractor | 894 Broadway, South Portland, ME 04106-4350 | 2005-11-21 |
| Street Address |
219 DEERFOOT TRL |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172489 | Northwest Horizons, Inc. | Nursing Facility/Intermediate Care Facility | 350 Conway Dr, Kalispell, MT 59901-3148 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982828273 | Daniels Memorial Hospital Association | Nursing Facility/Intermediate Care Facility | 105 5th Avenue East, Scobey, MT 59263-0400 | 2007-04-11 |
| 1770641383 | Stillwater Hospital Association, Inc. | Nursing Facility/Intermediate Care Facility | 44 W 4th Ave N, Columbus, MT 59019-0959 | 2006-12-05 |
| 1205926128 | Awe Kualawaache Care Center | Nursing Facility/Intermediate Care Facility | 10131 South Heritage Rd, Crow Agency, MT 59022 | 2006-10-13 |
| 1598756322 | County of Teton | Nursing Facility/Intermediate Care Facility | 24 Main Ave N, Choteau, MT 59422 | 2005-11-01 |
| 1588925572 | Northern Cheyenne Board of Health | Nursing Facility/Intermediate Care Facility | 100 Cheyenne Avenue, Box 67, Lame Deer, MT 59043 | 2012-06-06 |
| 1992910822 | Community Hospital of Anaconda | Nursing Facility/Intermediate Care Facility | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2007-05-14 |
| 1023222494 | Billings Clinic | Nursing Facility/Intermediate Care Facility | 2800 10th Ave N, Billings, MT 59101-0703 | 2007-05-09 |
| 1235102013 | Northern Montana Hospital | Nursing Facility/Intermediate Care Facility | 24 13th St, Havre, MT 59501-5222 | 2006-02-10 |
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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.