Deer Lodge Medical Center | |
1100 Hollenback Lane Deer Lodge MT 59722-1828 | |
(406) 846-1722 | |
(406) 846-2789 |
Full Name | Deer Lodge Medical Center |
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Speciality | Family Medicine |
Location | 1100 Hollenback Lane, Deer Lodge, Montana |
Authorized Official Name and Position | Jaena Richards (CFO) |
Authorized Official Contact | 4068467717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deer Lodge Medical Center 1100 Hollenback Lane Deer Lodge MT 59722-1828 Ph: (406) 846-1722 | Deer Lodge Medical Center 1100 Hollenback Lane Deer Lodge MT 59722-1828 Ph: (406) 846-1722 |
NPI Number | 1841414026 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 04/03/2024 |
Medicare PECOS PAC ID | 6103734728 |
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Medicare Enrollment ID | O20040917001067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841414026 | NPI | - | NPPES |
0720171 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew D Munding |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1164477824 PECOS PAC ID: 3173523412 Enrollment ID: I20070110000215 |
Provider Name | Judith H Wilson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164453932 PECOS PAC ID: 0547282642 Enrollment ID: I20080121000342 |
Provider Name | Niall R Atkinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316930050 PECOS PAC ID: 1658357405 Enrollment ID: I20100302000013 |
Provider Name | Robert W Gneiting |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225105919 PECOS PAC ID: 3678709383 Enrollment ID: I20131127001740 |
Provider Name | Chad F Colvin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184661746 PECOS PAC ID: 1557453792 Enrollment ID: I20140724000215 |
Provider Name | Summera Qamar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891083937 PECOS PAC ID: 5799930087 Enrollment ID: I20140918000012 |
Provider Name | Scott Rigdon |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134371503 PECOS PAC ID: 6901965482 Enrollment ID: I20150109000724 |
Provider Name | Carl K Schillhammer |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952545311 PECOS PAC ID: 2567688013 Enrollment ID: I20151002002346 |
Provider Name | Scot A Murray |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659328102 PECOS PAC ID: 3274581731 Enrollment ID: I20160701001811 |
Provider Name | Denis E Jones |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1528092152 PECOS PAC ID: 9931160827 Enrollment ID: I20160830002998 |
Provider Name | Lisa M Turk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962940460 PECOS PAC ID: 4486938263 Enrollment ID: I20170222001073 |
Provider Name | Lori L Drumm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750393757 PECOS PAC ID: 4385821438 Enrollment ID: I20171027002486 |
Provider Name | Vaughn T Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659453694 PECOS PAC ID: 1355405689 Enrollment ID: I20190219002861 |
Provider Name | Hannah Gilliland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114424488 PECOS PAC ID: 2466791132 Enrollment ID: I20190226000128 |
Provider Name | Kenny Joe Wallen |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1649628553 PECOS PAC ID: 4183916182 Enrollment ID: I20190730003670 |
Provider Name | Kimberly G Wallen |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033575907 PECOS PAC ID: 1052617933 Enrollment ID: I20200217003417 |
Provider Name | Patrick J Krach |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528627973 PECOS PAC ID: 0345575569 Enrollment ID: I20221114002975 |
Provider Name | Jessica Simmons |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447671755 PECOS PAC ID: 3476784752 Enrollment ID: I20230320002454 |
Provider Name | Belinda A Murphy Denmark |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689600785 PECOS PAC ID: 0547200552 Enrollment ID: I20230815002251 |
Provider Name | Thomas G Rachie |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942515762 PECOS PAC ID: 9436596053 Enrollment ID: I20240319001334 |
Provider Name | Patrick R Waber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225059439 PECOS PAC ID: 7517007388 Enrollment ID: I20240415002972 |
Cottonwood Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Main St, Deer Lodge, MT 59722 Phone: 406-846-4275 Fax: 406-846-7278 | |
Premier Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Main St, Deer Lodge, MT 59722 Phone: 406-846-7770 Fax: 406-846-7771 |