| Powell County Memorial Hospital Association Inc | |
|
1100 Hollenback Lane Deer Lodge MT 59722-1828 | |
| (406) 846-1722 | |
| (406) 846-2789 |
| Full Name | Powell County Memorial Hospital Association Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Hollenback Lane, Deer Lodge, Montana |
| Authorized Official Name and Position | Jaena Richards (CFO) |
| Authorized Official Contact | 4068467717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell County Memorial Hospital Association Inc 1100 Hollenback Lane Deer Lodge MT 59722-1828 Ph: (406) 846-1722 | Powell County Memorial Hospital Association Inc 1100 Hollenback Lane Deer Lodge MT 59722-1828 Ph: (406) 846-1722 |
| NPI Number | 1841414026 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 6103734728 |
|---|---|
| Medicare Enrollment ID | O20040917001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841414026 | NPI | - | NPPES |
| 0720171 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank Raiser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144297987 PECOS PAC ID: 0547234643 Enrollment ID: I20040824000982 |
| Provider Name | Matthew D Munding |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164477824 PECOS PAC ID: 3173523412 Enrollment ID: I20070110000215 |
| Provider Name | Judith H Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164453932 PECOS PAC ID: 0547282642 Enrollment ID: I20080121000342 |
| Provider Name | Niall R Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316930050 PECOS PAC ID: 1658357405 Enrollment ID: I20100302000013 |
| Provider Name | Robert W Gneiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225105919 PECOS PAC ID: 3678709383 Enrollment ID: I20131127001740 |
| Provider Name | Chad F Colvin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184661746 PECOS PAC ID: 1557453792 Enrollment ID: I20140724000215 |
| Provider Name | Summera Qamar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891083937 PECOS PAC ID: 5799930087 Enrollment ID: I20140918000012 |
| Provider Name | Scott W Rigdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134371503 PECOS PAC ID: 6901965482 Enrollment ID: I20150109000724 |
| Provider Name | Carl K Schillhammer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952545311 PECOS PAC ID: 2567688013 Enrollment ID: I20151002002346 |
| Provider Name | Scot A Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659328102 PECOS PAC ID: 3274581731 Enrollment ID: I20160701001811 |
| Provider Name | Denis E Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528092152 PECOS PAC ID: 9931160827 Enrollment ID: I20160830002998 |
| Provider Name | Lisa M Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962940460 PECOS PAC ID: 4486938263 Enrollment ID: I20170222001073 |
| Provider Name | Lori L Drumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750393757 PECOS PAC ID: 4385821438 Enrollment ID: I20171027002486 |
| Provider Name | Vaughn T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659453694 PECOS PAC ID: 1355405689 Enrollment ID: I20190219002861 |
| Provider Name | Hannah Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114424488 PECOS PAC ID: 2466791132 Enrollment ID: I20190226000128 |
| Provider Name | Kenny Joe Wallen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649628553 PECOS PAC ID: 4183916182 Enrollment ID: I20190730003670 |
| Provider Name | Kimberly Glendoria Wallen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033575907 PECOS PAC ID: 1052617933 Enrollment ID: I20200217003417 |
| Provider Name | Patrick J Krach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528627973 PECOS PAC ID: 0345575569 Enrollment ID: I20221114002975 |
| Provider Name | Jessica A Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447671755 PECOS PAC ID: 3476784752 Enrollment ID: I20230320002454 |
| Provider Name | Belinda Annette Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689600785 PECOS PAC ID: 0547200552 Enrollment ID: I20230815002251 |
| Provider Name | Thomas G Rachie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942515762 PECOS PAC ID: 9436596053 Enrollment ID: I20240319001334 |
| Provider Name | Patrick R Waber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225059439 PECOS PAC ID: 7517007388 Enrollment ID: I20240415002972 |
| Provider Name | Daniel Offerdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467968925 PECOS PAC ID: 1355604083 Enrollment ID: I20240708003031 |
| Provider Name | Taylor M Harrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013524776 PECOS PAC ID: 9133533037 Enrollment ID: I20240814002075 |
| Provider Name | Thomas Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194781161 PECOS PAC ID: 5890781298 Enrollment ID: I20240828004112 |
| Provider Name | Charles Ruzkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669576757 PECOS PAC ID: 4789648601 Enrollment ID: I20241230002440 |
State Of Montana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Conley Lake Rd, Deer Lodge, MT 59722 Phone: 406-444-3930 | |
Premier Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Main St, Deer Lodge, MT 59722 Phone: 406-846-7770 Fax: 406-846-7771 |