| One Health - Lewistown | |
|
311 W Main St Lewistown MT 59457-2770 | |
| (406) 535-6545 | |
| Not Available |
| Full Name | One Health - Lewistown |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 W Main St, Lewistown, Montana |
| Authorized Official Name and Position | David Andrew Mark (CEO) |
| Authorized Official Contact | 4066654103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Health - Lewistown 207 W Main St Ste 5 Lewistown MT 59457-2718 Ph: (406) 535-6545 | One Health - Lewistown 311 W Main St Lewistown MT 59457-2770 Ph: (406) 535-6545 |
| NPI Number | 1942450432 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 3072674464 |
|---|---|
| Medicare Enrollment ID | O20090204000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patricia Loge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639105729 PECOS PAC ID: 1658262811 Enrollment ID: I20040324001464 |
| Provider Name | Tamara M Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447251392 PECOS PAC ID: 3476440728 Enrollment ID: I20040908001556 |
| Provider Name | Joan M Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467403345 PECOS PAC ID: 9537123229 Enrollment ID: I20041112000618 |
| Provider Name | Frank R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557120 PECOS PAC ID: 1850359373 Enrollment ID: I20041229000837 |
| Provider Name | Sharon E Gottardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811984420 PECOS PAC ID: 3779676705 Enrollment ID: I20070907000389 |
| Provider Name | Kristopher G Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336324250 PECOS PAC ID: 4587748256 Enrollment ID: I20080220000317 |
| Provider Name | Jacob P Forke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902127756 PECOS PAC ID: 2860647195 Enrollment ID: I20130806000955 |
| Provider Name | Connie M Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043556145 PECOS PAC ID: 6204138126 Enrollment ID: I20160111000435 |
| Provider Name | Courtney Brewer Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558813428 PECOS PAC ID: 0143509638 Enrollment ID: I20161128002580 |
| Provider Name | Amber L Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872909 PECOS PAC ID: 3779765961 Enrollment ID: I20161214001044 |
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