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601 1st Ave N Great Falls MT 59401-2510 | |
| (406) 791-7903 | |
| (406) 791-7998 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 1st Ave N, Great Falls, Montana |
| Authorized Official Name and Position | William Preston (ACTING CEO) |
| Authorized Official Contact | 4064546973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
601 1st Ave N Great Falls MT 59401-2510 Ph: (406) 454-6973 | 601 1st Ave N Great Falls MT 59401-2510 Ph: (406) 791-7903 |
| NPI Number | 1902948946 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 3678603040 |
|---|---|
| Medicare Enrollment ID | O20141202000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902948946 | NPI | - | NPPES |
| 730197 | Medicaid | MT | |
| 271811 | Other | MT | MEDICARE PTAN |
| Provider Name | Katherine Mary Pellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932233632 PECOS PAC ID: 8527005719 Enrollment ID: I20050408000998 |
| Provider Name | Julie A Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163757 PECOS PAC ID: 4284828229 Enrollment ID: I20101103000600 |
| Provider Name | Sally A Lydon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730237876 PECOS PAC ID: 8123072899 Enrollment ID: I20150810002680 |
| Provider Name | Pauline M Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710338892 PECOS PAC ID: 1052606522 Enrollment ID: I20160823001024 |
| Provider Name | Annette M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851742266 PECOS PAC ID: 1557649324 Enrollment ID: I20161028001547 |
| Provider Name | Kelsey E Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487211819 PECOS PAC ID: 4587993431 Enrollment ID: I20190903000977 |
Whole Life Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 2nd Ave N Ste 634, Great Falls, MT 59401 Phone: 406-231-1915 | |
Re Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 5th St N Ste 201, Great Falls, MT 59401 Phone: 406-204-1487 Fax: 406-315-3845 | |
Gateway Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 4th St N, Great Falls, MT 59401 Phone: 406-727-2512 | |