Roundup Memorial Healthcare - Clinic | |
1207 Second St W Roundup MT 59072-1835 | |
(406) 323-3337 | |
(406) 323-3002 |
Full Name | Roundup Memorial Healthcare - Clinic |
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Speciality | Clinic/Center |
Location | 1207 Second St W, Roundup, Montana |
Authorized Official Name and Position | Holly Wolff (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4063232301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roundup Memorial Healthcare - Clinic 1207 Second St W Roundup MT 59072-1835 Ph: (406) 323-3337 | Roundup Memorial Healthcare - Clinic 1207 Second St W Roundup MT 59072-1835 Ph: (406) 323-3337 |
NPI Number | 1902908262 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 06/30/2020 |
Medicare PECOS PAC ID | 5395646707 |
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Medicare Enrollment ID | O20040119000371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902908262 | NPI | - | NPPES |
0720395 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 10506 (Montana) | Primary |
282N00000X | General Acute Care Hospital | 10506 (Montana) | Secondary |
Provider Name | Jeffry O Lindenbaum |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20040218000968 |
Provider Name | Bryan J Canty |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841309515 PECOS PAC ID: 2567359334 Enrollment ID: I20040304000600 |
Provider Name | Douglas G Bell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20040304000747 |
Provider Name | Bruce C Pinkerton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487737136 PECOS PAC ID: 5294623088 Enrollment ID: I20040304000789 |
Provider Name | Jonathan P Graeve |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538271507 PECOS PAC ID: 8820986623 Enrollment ID: I20040304000848 |
Provider Name | David R Lehnherr |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952494585 PECOS PAC ID: 5698663235 Enrollment ID: I20040305001065 |
Provider Name | Dean A Bruschwein |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568482081 PECOS PAC ID: 3375433576 Enrollment ID: I20040319000794 |
Provider Name | Daniel F Alderman |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1982666442 PECOS PAC ID: 2769466580 Enrollment ID: I20040617000741 |
Provider Name | William C Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083698740 PECOS PAC ID: 7517859184 Enrollment ID: I20040622001449 |
Provider Name | Doyle S Coleman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558437277 PECOS PAC ID: 0840196424 Enrollment ID: I20050927001493 |
Provider Name | Mark A Ward |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538122544 PECOS PAC ID: 1951317676 Enrollment ID: I20060303000391 |
Provider Name | John Scott Brandon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912943978 PECOS PAC ID: 4183603939 Enrollment ID: I20061005000644 |
Provider Name | John C Sillery |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699752709 PECOS PAC ID: 1456389402 Enrollment ID: I20081230000156 |
Provider Name | Lisa A Kincannon-ziegler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366612327 PECOS PAC ID: 7810942513 Enrollment ID: I20090122000700 |
Provider Name | Zachary M Bland |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20090811000627 |
Provider Name | Tammy J Chambers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407151574 PECOS PAC ID: 4688845704 Enrollment ID: I20110922000004 |
Provider Name | George E Knight |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306966858 PECOS PAC ID: 1052464815 Enrollment ID: I20111005000092 |
Provider Name | Scott R Paulsen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538363635 PECOS PAC ID: 2365533783 Enrollment ID: I20120619000059 |
Provider Name | Kelly Petit |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164671061 PECOS PAC ID: 2264679950 Enrollment ID: I20130517000183 |
Provider Name | Zoe Fugere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255754941 PECOS PAC ID: 3779709399 Enrollment ID: I20140716002669 |
Provider Name | Ernest V Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790979730 PECOS PAC ID: 3375589260 Enrollment ID: I20140811001833 |
Provider Name | Sarah Malli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861744252 PECOS PAC ID: 8426277757 Enrollment ID: I20140917003009 |
Provider Name | Joshua Delavan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20150629003083 |
Provider Name | Wendy S Killham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114336351 PECOS PAC ID: 3870713001 Enrollment ID: I20150801017348 |
Provider Name | Eric J May |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447561360 PECOS PAC ID: 6002088697 Enrollment ID: I20160729001784 |
Provider Name | Jeri Lynn W Casagrande |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205273257 PECOS PAC ID: 2062652910 Enrollment ID: I20161005001327 |
Provider Name | Heather I Gale |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023329513 PECOS PAC ID: 6204068174 Enrollment ID: I20170628003349 |
Provider Name | Sarah Elizabeth Stilwill |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20180105001134 |
Provider Name | Mariah Lei White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871850040 PECOS PAC ID: 2163663162 Enrollment ID: I20180619002909 |
Provider Name | Charles F Fowler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841765203 PECOS PAC ID: 4587918883 Enrollment ID: I20190807001587 |
Provider Name | Sean T Jones |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1790102606 PECOS PAC ID: 0143447326 Enrollment ID: I20200602001771 |
Provider Name | Wade W See |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891107314 PECOS PAC ID: 5496084253 Enrollment ID: I20200723002547 |
Provider Name | Andrew G Cox |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205872918 PECOS PAC ID: 5193914562 Enrollment ID: I20200731000924 |
Provider Name | Paul F Hunt |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20211013002505 |
Provider Name | Deanna Joy Daigrepont |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275061491 PECOS PAC ID: 3577833342 Enrollment ID: I20220420003097 |
Provider Name | Jarett Thelen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700204195 PECOS PAC ID: 6901150911 Enrollment ID: I20220818000601 |
Provider Name | Kurt W Lowartz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821659855 PECOS PAC ID: 2062740806 Enrollment ID: I20221216001483 |
Provider Name | William B Castleberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558495424 PECOS PAC ID: 8820197726 Enrollment ID: I20231102002718 |
Provider Name | Robert O Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669775771 PECOS PAC ID: 2264611045 Enrollment ID: I20231117000798 |
Provider Name | Robert Linville |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1457593279 PECOS PAC ID: 3375766181 Enrollment ID: I20240318002410 |
Frontier Health Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 1st Ave W, Roundup, MT 59072 Phone: 406-323-4002 Fax: 406-323-4022 |