| One Health-wilson Building | |
|
10 4th St W Hardin MT 59034-1802 | |
| (406) 665-4103 | |
| Not Available |
| Full Name | One Health-wilson Building |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 4th St W, Hardin, Montana |
| Authorized Official Name and Position | David Andrew Mark (CEO) |
| Authorized Official Contact | 4066239330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Health-wilson Building 10 4th St W Ste B Hardin MT 59034-1804 Ph: (406) 665-4103 | One Health-wilson Building 10 4th St W Hardin MT 59034-1802 Ph: (406) 665-4103 |
| NPI Number | 1255617130 |
|---|---|
| Provider Enumeration Date | 10/24/2011 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 8820246077 |
|---|---|
| Medicare Enrollment ID | O20120913000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255617130 | NPI | - | NPPES |
| 1255617130 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ashley A Quanbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700058435 PECOS PAC ID: 1153468947 Enrollment ID: I20091028000050 |
| Provider Name | Joseph Z Nemes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134122872 PECOS PAC ID: 0143369744 Enrollment ID: I20091119000621 |
| Provider Name | David A Mark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023166840 PECOS PAC ID: 4981502010 Enrollment ID: I20120924000671 |
| Provider Name | Nicole Turnsplenty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063725323 PECOS PAC ID: 7113109935 Enrollment ID: I20121018000087 |
| Provider Name | Jacob P Forke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902127756 PECOS PAC ID: 2860647195 Enrollment ID: I20130806000955 |
| Provider Name | Laura Shellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040812 PECOS PAC ID: 9234387796 Enrollment ID: I20140422002359 |
| Provider Name | Anna Marie Hein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528472503 PECOS PAC ID: 4385959840 Enrollment ID: I20150813010260 |
| Provider Name | Bella M Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154598746 PECOS PAC ID: 2163578295 Enrollment ID: I20151103003162 |
| Provider Name | April D Haugrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376099424 PECOS PAC ID: 4880981349 Enrollment ID: I20160930000546 |
| Provider Name | Amber L Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872909 PECOS PAC ID: 3779765961 Enrollment ID: I20161214001044 |
| Provider Name | Martin Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557915 PECOS PAC ID: 0547537540 Enrollment ID: I20170523001118 |
| Provider Name | Lindsay Rucinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680190 PECOS PAC ID: 3072888064 Enrollment ID: I20170929003194 |
| Provider Name | Lacey L Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780809665 PECOS PAC ID: 9830447838 Enrollment ID: I20180808000956 |
| Provider Name | Stephanie Jo Christman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831664242 PECOS PAC ID: 0143560714 Enrollment ID: I20190318001380 |
| Provider Name | Bonnie Oxford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366000515 PECOS PAC ID: 2961738562 Enrollment ID: I20190719000169 |
| Provider Name | Katie L Ketterling-thornburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114489093 PECOS PAC ID: 5799016093 Enrollment ID: I20191017002977 |
| Provider Name | Rebecca Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225690415 PECOS PAC ID: 5496087249 Enrollment ID: I20191028001134 |
| Provider Name | Jennifer L Debus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437466653 PECOS PAC ID: 1850721945 Enrollment ID: I20200413001755 |
| Provider Name | Christina Hoppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942634134 PECOS PAC ID: 2062836463 Enrollment ID: I20200717002149 |
| Provider Name | Orin M Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346770724 PECOS PAC ID: 9436575586 Enrollment ID: I20200819002657 |
| Provider Name | Bethanie Krinhop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336633437 PECOS PAC ID: 2062832538 Enrollment ID: I20201022000467 |
| Provider Name | Patti J Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184239618 PECOS PAC ID: 2769892884 Enrollment ID: I20201030002170 |
| Provider Name | Kathryn Lee Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952857385 PECOS PAC ID: 4385970037 Enrollment ID: I20201105001287 |
| Provider Name | Jason E Sarisky |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1083102255 PECOS PAC ID: 2365799392 Enrollment ID: I20210708001627 |
| Provider Name | Rachel Linster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760151567 PECOS PAC ID: 2264839174 Enrollment ID: I20211215002858 |
| Provider Name | Denita M Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982205225 PECOS PAC ID: 3779960067 Enrollment ID: I20220505002057 |
| Provider Name | Katherine E Murray |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710483243 PECOS PAC ID: 8628326790 Enrollment ID: I20220629000797 |
| Provider Name | Andrew C Hyams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003963315 PECOS PAC ID: 6204149859 Enrollment ID: I20220728001851 |
| Provider Name | Robin D Hogan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942337050 PECOS PAC ID: 5395127229 Enrollment ID: I20220809001403 |
| Provider Name | Chloe Nicole Ekelem |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164884185 PECOS PAC ID: 5890026678 Enrollment ID: I20221010002062 |
| Provider Name | Clancy Joyce Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235818535 PECOS PAC ID: 2062875578 Enrollment ID: I20230831001457 |
| Provider Name | Mariah Kellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083230304 PECOS PAC ID: 7012371180 Enrollment ID: I20230908001267 |
| Provider Name | Roger L Dixon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841390986 PECOS PAC ID: 5799133054 Enrollment ID: I20231127002115 |
| Provider Name | Kenneth Dean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407390925 PECOS PAC ID: 6103277942 Enrollment ID: I20240105003124 |
| Provider Name | Kristina Emanuel Brakebush |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1215627633 PECOS PAC ID: 1153772850 Enrollment ID: I20240108000062 |
| Provider Name | Shandy Aberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598295420 PECOS PAC ID: 5890147920 Enrollment ID: I20240115000054 |
| Provider Name | Kristi Lee Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245905074 PECOS PAC ID: 0244601839 Enrollment ID: I20240117004970 |
| Provider Name | Mindy M Jorgensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942680889 PECOS PAC ID: 6709238546 Enrollment ID: I20240118002212 |
| Provider Name | Jacqueline Whiteman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255108445 PECOS PAC ID: 3971946161 Enrollment ID: I20240205001857 |
| Provider Name | Jessica Leane Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871182089 PECOS PAC ID: 1052760543 Enrollment ID: I20240209002625 |
| Provider Name | Nicole Lee Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366130908 PECOS PAC ID: 6103260369 Enrollment ID: I20240215004372 |
| Provider Name | Michelle Ann Tomaskie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427615574 PECOS PAC ID: 7911345350 Enrollment ID: I20240404002795 |
| Provider Name | Melody Hope Lark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528670676 PECOS PAC ID: 8921447384 Enrollment ID: I20240423002109 |
Hardin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 N Miles Ave, Hardin, MT 59034 Phone: 406-665-2205 Fax: 406-665-1159 | |
Bighorn Valley Health Center, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 8th St. W, Unit A, Hardin, MT 59034 Phone: 406-665-4103 Fax: 406-867-4103 | |
Bighorn Valley Health Center, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 N Miles Ave Ste 101, Hardin, MT 59034 Phone: 000-000-0000 | |
Bighorn Valley Health Center, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1223 N Center Ave, Hardin, MT 59034 Phone: 406-665-4103 | |
Bighorn Valley Health Center, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 N Miles Ave, Hardin, MT 59034 Phone: 406-665-4103 |