Riverside Family Clinic | |
209 H St East Poplar MT 59255-0629 | |
(406) 768-5171 | |
(406) 768-6161 |
Full Name | Riverside Family Clinic |
---|---|
Speciality | Clinic/Center |
Location | 209 H St East, Poplar, Montana |
Authorized Official Name and Position | Margaret B Norgaard (CEO) |
Authorized Official Contact | 4067686133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Riverside Family Clinic 209 1/2 H St East Po Box 629 Poplar MT 59255-0629 Ph: (406) 768-5171 | Riverside Family Clinic 209 H St East Poplar MT 59255-0629 Ph: (406) 768-5171 |
NPI Number | 1255351862 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 06/11/2018 |
Medicare PECOS PAC ID | 7810989506 |
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Medicare Enrollment ID | O20040401001068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255351862 | NPI | - | NPPES |
0720137 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Montana) | Primary |
Provider Name | Danette A Mcintyre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528171980 PECOS PAC ID: 6901862465 Enrollment ID: I20041206001221 |
Provider Name | Benjamin J Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255356291 PECOS PAC ID: 7517968225 Enrollment ID: I20070124000131 |
Provider Name | Abby L Reum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609104595 PECOS PAC ID: 7214065697 Enrollment ID: I20100505000451 |
Provider Name | Judith Ann Lauridsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124132378 PECOS PAC ID: 6507990934 Enrollment ID: I20100819001184 |
Provider Name | Jeremiah L Eldred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700016698 PECOS PAC ID: 2062688294 Enrollment ID: I20120110000268 |
Provider Name | Kathy J Wulf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730128463 PECOS PAC ID: 1759362502 Enrollment ID: I20150206000696 |
Provider Name | Tony Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558759530 PECOS PAC ID: 5496076440 Enrollment ID: I20170612002335 |
Provider Name | Julie A O'neil |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1295884732 PECOS PAC ID: 5991931529 Enrollment ID: I20190730003608 |
Provider Name | Rebecca D Dorsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20200313002171 |
Provider Name | Joseph R Shollenbarger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235574328 PECOS PAC ID: 3375811003 Enrollment ID: I20201020003970 |
Provider Name | Mike D Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912368234 PECOS PAC ID: 8820387293 Enrollment ID: I20220311001179 |
Provider Name | Carissa Giordani Cahill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407587223 PECOS PAC ID: 3678940384 Enrollment ID: I20221109003390 |
Provider Name | Tammy L Ballant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962847483 PECOS PAC ID: 0143461087 Enrollment ID: I20240404002255 |
Provider Name | Moshe M Usadi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629154554 PECOS PAC ID: 3476644543 Enrollment ID: I20240904001856 |
Provider Name | Jesse Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245876655 PECOS PAC ID: 0244770394 Enrollment ID: I20240904003379 |
Provider Name | Michael P Welch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225525058 PECOS PAC ID: 3375899636 Enrollment ID: I20240905003259 |
Provider Name | Frances L Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427335306 PECOS PAC ID: 1658512868 Enrollment ID: I20240920003266 |
Provider Name | Jill A Ibrahim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144734427 PECOS PAC ID: 7719246800 Enrollment ID: I20241021000444 |
Provider Name | Abigaile Julio Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801508643 PECOS PAC ID: 2668907239 Enrollment ID: I20241120001577 |
Provider Name | Deanna L Diulio |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1376072587 PECOS PAC ID: 8224395322 Enrollment ID: I20241203002153 |
Fort Peck Tribes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Frontage Rd, Poplar, MT 59255 Phone: 406-768-6003 | |
Fort Peck Tribes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 4th Ave W, Poplar, MT 59255 Phone: 406-768-3384 | |