| Western Montana Clinic Pc | |
|
500 West Broadway Missoula MT 59802-4008 | |
| (406) 721-5600 | |
| (406) 721-3907 |
| Full Name | Western Montana Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 West Broadway, Missoula, Montana |
| Authorized Official Name and Position | Dirk Gottman (PRESIDENT) |
| Authorized Official Contact | 4067215600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Montana Clinic Pc Po Box 7609 Missoula MT 59807-7609 Ph: (406) 721-5600 | Western Montana Clinic Pc 500 West Broadway Missoula MT 59802-4008 Ph: (406) 721-5600 |
| NPI Number | 1942253182 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 2466365002 |
|---|---|
| Medicare Enrollment ID | O20031110000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942253182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Carla C Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174546857 PECOS PAC ID: 3577545102 Enrollment ID: I20040921001184 |
| Provider Name | Janine L Peterson-hale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376638585 PECOS PAC ID: 7719935683 Enrollment ID: I20050106000997 |
| Provider Name | Franklin W Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457361438 PECOS PAC ID: 1355332180 Enrollment ID: I20050131000865 |
| Provider Name | Justin A Ries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740297696 PECOS PAC ID: 8527013135 Enrollment ID: I20050316000943 |
| Provider Name | Kristen J Townley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891749446 PECOS PAC ID: 8527048537 Enrollment ID: I20050630000277 |
| Provider Name | Christopher B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417997487 PECOS PAC ID: 2567355183 Enrollment ID: I20050825000763 |
| Provider Name | Jennifer K Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245273622 PECOS PAC ID: 7719990936 Enrollment ID: I20060710000330 |
| Provider Name | Melody B Nelsen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669519930 PECOS PAC ID: 9537265715 Enrollment ID: I20070809000090 |
| Provider Name | Steven J Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669409470 PECOS PAC ID: 7012007164 Enrollment ID: I20071213000390 |
| Provider Name | Wendy A Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871776963 PECOS PAC ID: 2961586672 Enrollment ID: I20080219000723 |
| Provider Name | Robert Andrew Headley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790726198 PECOS PAC ID: 0840260162 Enrollment ID: I20080328000632 |
| Provider Name | Kendra B Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982600359 PECOS PAC ID: 2264493022 Enrollment ID: I20080710000357 |
| Provider Name | Ann M Corsi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568418630 PECOS PAC ID: 3476695537 Enrollment ID: I20100127000784 |
| Provider Name | Candace K Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457308082 PECOS PAC ID: 4082756143 Enrollment ID: I20100127000818 |
| Provider Name | Janice A Givler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700833662 PECOS PAC ID: 3274675343 Enrollment ID: I20100127000918 |
| Provider Name | Dirk R Gottman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841247467 PECOS PAC ID: 4880738780 Enrollment ID: I20100216000371 |
| Provider Name | Jennifer B Mayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437353232 PECOS PAC ID: 8628194693 Enrollment ID: I20100927001505 |
| Provider Name | Shannon K Foster |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356549406 PECOS PAC ID: 3971795220 Enrollment ID: I20101005001272 |
| Provider Name | Allison Amelia Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417157827 PECOS PAC ID: 3779775770 Enrollment ID: I20101008000704 |
| Provider Name | Rebecca L Danforth |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164570172 PECOS PAC ID: 6507059516 Enrollment ID: I20101022000719 |
| Provider Name | Nerissa Koehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104825728 PECOS PAC ID: 1557275419 Enrollment ID: I20111003000571 |
| Provider Name | John Bernard Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588663827 PECOS PAC ID: 6406754399 Enrollment ID: I20111108000358 |
| Provider Name | Kimberly C Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992066971 PECOS PAC ID: 8022264829 Enrollment ID: I20120810000101 |
| Provider Name | Aubrey M Remmers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033285861 PECOS PAC ID: 7012934466 Enrollment ID: I20130904000769 |
| Provider Name | Holly H Omar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104912120 PECOS PAC ID: 4082649934 Enrollment ID: I20140805001323 |
| Provider Name | Sarah Elizabeth Holexa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396062758 PECOS PAC ID: 7315117355 Enrollment ID: I20150331001039 |
| Provider Name | Rebecca C Belsom |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063604338 PECOS PAC ID: 3375709520 Enrollment ID: I20150416000000 |
| Provider Name | Andrew Tegeder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376835769 PECOS PAC ID: 4688986193 Enrollment ID: I20150710001940 |
| Provider Name | Robert C Humble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396034328 PECOS PAC ID: 6800109562 Enrollment ID: I20150723008984 |
| Provider Name | Joshua J Sticka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740351501 PECOS PAC ID: 4385817873 Enrollment ID: I20150928000666 |
| Provider Name | Mary Shick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568828226 PECOS PAC ID: 2264736008 Enrollment ID: I20160215001939 |
| Provider Name | Lauren Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457393357 PECOS PAC ID: 5193911998 Enrollment ID: I20170920002811 |
| Provider Name | James P Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558461814 PECOS PAC ID: 7911914601 Enrollment ID: I20180323000900 |
| Provider Name | Jennifer Sue Reck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043605843 PECOS PAC ID: 7113221961 Enrollment ID: I20180802003900 |
| Provider Name | Jessica Kelly Sempler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457619033 PECOS PAC ID: 8820221658 Enrollment ID: I20180910000814 |
| Provider Name | Amethyst R Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053765164 PECOS PAC ID: 7517223142 Enrollment ID: I20200709002087 |
| Provider Name | Lauren Brooke Mcgovern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891290417 PECOS PAC ID: 3870997133 Enrollment ID: I20210809001542 |
| Provider Name | Sandra J Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801560552 PECOS PAC ID: 1658769971 Enrollment ID: I20211019001438 |
| Provider Name | Nicole Pressman-schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033371034 PECOS PAC ID: 6204096860 Enrollment ID: I20211229001071 |
| Provider Name | Jacob Inda |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275997827 PECOS PAC ID: 5395037329 Enrollment ID: I20220808003071 |
| Provider Name | Erika Hagstrom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841685658 PECOS PAC ID: 2961705595 Enrollment ID: I20220815003162 |
| Provider Name | Grayson Wells Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952860991 PECOS PAC ID: 1850774324 Enrollment ID: I20220816001715 |
| Provider Name | Elise A Abicht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497071054 PECOS PAC ID: 9335365279 Enrollment ID: I20220920000874 |
| Provider Name | Katie A Julius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503242 PECOS PAC ID: 4789050741 Enrollment ID: I20221014002767 |
| Provider Name | Amy B Van Cleave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487376232 PECOS PAC ID: 3173990488 Enrollment ID: I20221028002512 |
| Provider Name | Rachael Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316576960 PECOS PAC ID: 2567860323 Enrollment ID: I20230914003221 |
Tms Revitalizes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Great Northern Loop, Ste 410, Missoula, MT 59808 Phone: 406-493-1344 Fax: 406-830-3127 | |
Partnership Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Mullan Rd Ste A, Missoula, MT 59808 Phone: 406-258-4949 Fax: 406-258-4732 | |
Sentinel Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6995 Linda Vista Blvd Ste 120, Missoula, MT 59803 Phone: 406-272-6151 | |
Biome Group Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd. Bldg. 2, Ste. 203, Missoula, MT 59804 Phone: 480-628-3002 | |
Western Montana Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Greater Good Health Pc, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2230 N Reserve St Ste 110, Missoula, MT 59808 Phone: 310-658-3775 | |
Cardiopulmonary Associates Of Montana, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Spruce St, Suite A, Missoula, MT 59802 Phone: 406-329-2945 |