Listeruds Rural Health Clinic | |
301 Knapp St Wolf Point MT 59201-1826 | |
(406) 653-2150 | |
(406) 653-6591 |
Full Name | Listeruds Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 301 Knapp St, Wolf Point, Montana |
Authorized Official Name and Position | Margaret B Norgaard (CEO) |
Authorized Official Contact | 4066536512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Listeruds Rural Health Clinic 301 Knapp St Wolf Point MT 59201-1826 Ph: (406) 653-2150 | Listeruds Rural Health Clinic 301 Knapp St Wolf Point MT 59201-1826 Ph: (406) 653-2150 |
NPI Number | 1992722904 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 06/11/2018 |
Medicare PECOS PAC ID | 3678546660 |
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Medicare Enrollment ID | O20040817001372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992722904 | NPI | - | NPPES |
0720154 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Montana) | Primary |
Provider Name | William M Higgs |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1922147693 PECOS PAC ID: 0749269967 Enrollment ID: I20040720000283 |
Provider Name | Danette A Mcintyre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528171980 PECOS PAC ID: 6901862465 Enrollment ID: I20041206001221 |
Provider Name | Benjamin J Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255356291 PECOS PAC ID: 7517968225 Enrollment ID: I20070124000131 |
Provider Name | Stephanie Catron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952467276 PECOS PAC ID: 5597813956 Enrollment ID: I20090423000502 |
Provider Name | Abby L Reum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609104595 PECOS PAC ID: 7214065697 Enrollment ID: I20100505000451 |
Provider Name | Mark William Zilkoski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801909080 PECOS PAC ID: 5991613903 Enrollment ID: I20100723000424 |
Provider Name | Jeremiah L Eldred |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700016698 PECOS PAC ID: 2062688294 Enrollment ID: I20120110000268 |
Provider Name | Wendy S Killham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114336351 PECOS PAC ID: 3870713001 Enrollment ID: I20150801017348 |
Provider Name | George Atwell |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275614711 PECOS PAC ID: 3870682594 Enrollment ID: I20160816001815 |
Provider Name | Stephanie D Ring |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316046907 PECOS PAC ID: 4385623446 Enrollment ID: I20161123001910 |
Provider Name | Tony Underwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558759530 PECOS PAC ID: 5496076440 Enrollment ID: I20170612002335 |
Provider Name | Diane Theresa Dulude |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1518974419 PECOS PAC ID: 9335143882 Enrollment ID: I20190401002077 |
Provider Name | Julie A O'neil |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1295884732 PECOS PAC ID: 5991931529 Enrollment ID: I20190730003608 |
Provider Name | Odessa Hernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649645797 PECOS PAC ID: 7618272667 Enrollment ID: I20200121000930 |
Provider Name | Jacob Wesley Armstrong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174922199 PECOS PAC ID: 8224354386 Enrollment ID: I20200129001745 |
Provider Name | Rebecca D Dorsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20200313002171 |
Chief Redstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 6th Ave North, Wolf Point, MT 59201 Phone: 406-653-1641 Fax: 406-653-3728 |