| Evergreen Clinic | |
|
2181 Highway 2 East Suite 9 Kalispell MT 59901-2858 | |
| (406) 756-7225 | |
| (406) 756-5523 |
| Full Name | Evergreen Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2181 Highway 2 East, Kalispell, Montana |
| Authorized Official Name and Position | Jill B Ripley (OWNER) |
| Authorized Official Contact | 4067567225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Clinic 2181 Highway 2 East Suite 9 Kalispell MT 59901-2858 Ph: (406) 756-7225 | Evergreen Clinic 2181 Highway 2 East Suite 9 Kalispell MT 59901-2858 Ph: (406) 756-7225 |
| NPI Number | 1538390844 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Medicare PECOS PAC ID | 5991851032 |
|---|---|
| Medicare Enrollment ID | O20090915000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538390844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Angela D St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558428458 PECOS PAC ID: 1850365495 Enrollment ID: I20040820000472 |
| Provider Name | Jill B Ripley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912918046 PECOS PAC ID: 3476609850 Enrollment ID: I20091016000295 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386058345 PECOS PAC ID: 5496973620 Enrollment ID: I20140828002543 |
| Provider Name | Maria R Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619378668 PECOS PAC ID: 5496070021 Enrollment ID: I20150202002094 |
| Provider Name | Cathy Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811354251 PECOS PAC ID: 3375849144 Enrollment ID: I20200117002040 |
| Provider Name | Jennifer Denise Giager-meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790448090 PECOS PAC ID: 3476945148 Enrollment ID: I20220110002354 |
| Provider Name | Sherry Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154301026 PECOS PAC ID: 3577529445 Enrollment ID: I20221223000187 |
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