PONDERA MEDICAL CENTER (NPI# 1790803765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790803765 |
| Entity Type | Organization |
| Organization Name | PONDERA MEDICAL CENTER |
| Other Organization Name | PMC AMBULANCE |
| Practice Address |
805 Sunset Blvd Conrad MT 59425-0758 |
| Mailing Address |
805 Sunset Blvd Po Box 758 Conrad MT 59425-1717 |
| Practice Telephone | 4062713211 |
| Practice Fax Number | 4062713917 |
| Mailing Telephone | 4062713211 |
| Mailing Fax Number | 4062713917 |
| Enumeration Date | 2007-03-27 |
| 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 | 341600000X | Ambulance | 012 | MT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000060712 | 01 |
| MT | 0441285 | 05 |
| Other Name | Type Code |
|---|---|
| PMC Ambulance | 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 |
| 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 |
| 1699765552 | Pondera Medical Center | Home Health | 805 Sunset Blvd, Conrad, MT 59425-1717 | 2005-10-24 |
| 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 | 59425-0758 |
| 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 |
| 1114098746 | Pondera Medical Center | Medicare Defined Swing Bed Unit | 805 Sunset Blvd, Conrad, MT 59425-0758 | 2006-11-13 |
| 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
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| 1205140241 | Western Medical Transport | Ambulance | 426 S 12th St, Livingston, MT 59047-3323 | 2010-08-02 |
| 1396066809 | West Valley Rural Fire District | Ambulance | 2142 Farm To Market Road, Kalispell, MT 59901 | 2010-06-18 |
| 1417184086 | Hebgen Basin Fire District | Ambulance | 410 S Faithful, West Yellowstone, MT 59758 | 2009-06-22 |
| 1184860660 | Blackfoot Ems, Inc. | Ambulance | 2430 Highway 83, Seeley Lake, MT 59868 | 2009-01-05 |
| 1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
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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.