Listeruds Rural Health Clinic | |
301 Knapp St Wolf Point MT 59201-1826 | |
(406) 653-2150 | |
(406) 653-6591 |
Full Name | Listeruds Rural Health Clinic |
---|---|
Speciality | Clinic/Center |
Location | 301 Knapp St, Wolf Point, Montana |
Authorized Official Name and Position | Margaret B Norgaard (CEO) |
Authorized Official Contact | 4066536512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Listeruds Rural Health Clinic 301 Knapp St Wolf Point MT 59201-1826 Ph: (406) 653-2150 | Listeruds Rural Health Clinic 301 Knapp St Wolf Point MT 59201-1826 Ph: (406) 653-2150 |
NPI Number | 1992722904 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 06/11/2018 |
Medicare PECOS PAC ID | 3678546660 |
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Medicare Enrollment ID | O20040817001372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992722904 | NPI | - | NPPES |
0720154 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Montana) | Primary |
Provider Name | William M Higgs |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1922147693 PECOS PAC ID: 0749269967 Enrollment ID: I20040720000283 |
Provider Name | Angela D St John |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558428458 PECOS PAC ID: 1850365495 Enrollment ID: I20040820000472 |
Provider Name | Danette A Mcintyre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528171980 PECOS PAC ID: 6901862465 Enrollment ID: I20041206001221 |
Provider Name | Jimmy Gray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437191699 PECOS PAC ID: 6204893480 Enrollment ID: I20041220000587 |
Provider Name | Jerome A Kessler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942551106 PECOS PAC ID: 6002856465 Enrollment ID: I20050505000525 |
Provider Name | George A Biancarelli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083601108 PECOS PAC ID: 6901830157 Enrollment ID: I20050927000170 |
Provider Name | Benjamin J Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255356291 PECOS PAC ID: 7517968225 Enrollment ID: I20070124000131 |
Provider Name | Thomas B Matheson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558365106 PECOS PAC ID: 8921035213 Enrollment ID: I20080603000022 |
Provider Name | Jennifer L Hoversland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194996413 PECOS PAC ID: 6305900143 Enrollment ID: I20090123000005 |
Provider Name | Stephanie Catron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952467276 PECOS PAC ID: 5597813956 Enrollment ID: I20090423000502 |
Provider Name | Abby L Reum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609104595 PECOS PAC ID: 7214065697 Enrollment ID: I20100505000451 |
Provider Name | Mark William Zilkoski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801909080 PECOS PAC ID: 5991613903 Enrollment ID: I20100723000424 |
Provider Name | Brian Gary Drage |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932278785 PECOS PAC ID: 0840235354 Enrollment ID: I20110719000419 |
Provider Name | Jeremiah L Eldred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700016698 PECOS PAC ID: 2062688294 Enrollment ID: I20120110000268 |
Provider Name | Judith Mctaggart |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1144342346 PECOS PAC ID: 0749371722 Enrollment ID: I20121213000483 |
Provider Name | Nancy Marston-quivey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285681668 PECOS PAC ID: 7911806138 Enrollment ID: I20140429000336 |
Provider Name | Haylee Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205224060 PECOS PAC ID: 2264758598 Enrollment ID: I20150304002356 |
Provider Name | Wendy S Killham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114336351 PECOS PAC ID: 3870713001 Enrollment ID: I20150801017348 |
Provider Name | George Atwell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275614711 PECOS PAC ID: 3870682594 Enrollment ID: I20160816001815 |
Provider Name | Louis D Bailey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659682573 PECOS PAC ID: 0345568655 Enrollment ID: I20160822001338 |
Provider Name | Charles Sweeney |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306819206 PECOS PAC ID: 6800861626 Enrollment ID: I20161110001392 |
Provider Name | Stephanie D Ring |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316046907 PECOS PAC ID: 4385623446 Enrollment ID: I20161123001910 |
Provider Name | Tony Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558759530 PECOS PAC ID: 5496076440 Enrollment ID: I20170612002335 |
Provider Name | Deborah A Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609882026 PECOS PAC ID: 3274534508 Enrollment ID: I20170818002276 |
Provider Name | Amanda R Zuck |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285972737 PECOS PAC ID: 5092955807 Enrollment ID: I20170901002639 |
Provider Name | Susanne Levene |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760581276 PECOS PAC ID: 4880691716 Enrollment ID: I20171102002561 |
Provider Name | Robert Wesley Rickard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336162031 PECOS PAC ID: 0244246015 Enrollment ID: I20171218001340 |
Provider Name | Kristina D Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437464815 PECOS PAC ID: 8426242306 Enrollment ID: I20180420000641 |
Provider Name | Joel V Dye |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1437149887 PECOS PAC ID: 4981639143 Enrollment ID: I20180524002217 |
Provider Name | Jill Testerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891174546 PECOS PAC ID: 6204144629 Enrollment ID: I20190109000351 |
Provider Name | Joan Abi Nutt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972980050 PECOS PAC ID: 5597073940 Enrollment ID: I20190314000754 |
Provider Name | Diane Theresa Dulude |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1518974419 PECOS PAC ID: 9335143882 Enrollment ID: I20190401002077 |
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 | Jeremy Rt King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073000345 PECOS PAC ID: 4082958038 Enrollment ID: I20190911001317 |
Provider Name | Odessa Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649645797 PECOS PAC ID: 7618272667 Enrollment ID: I20200121000930 |
Provider Name | Jacob Wesley Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174922199 PECOS PAC ID: 8224354386 Enrollment ID: I20200129001745 |
Provider Name | Rebecca D Dorsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20200313002171 |
Provider Name | Steven Murrell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457540445 PECOS PAC ID: 0042344475 Enrollment ID: I20200428001571 |
Provider Name | Daniel W Hagerty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588046064 PECOS PAC ID: 3173838133 Enrollment ID: I20200805002769 |
Provider Name | Kelsey Haugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891311684 PECOS PAC ID: 4486079423 Enrollment ID: I20200807000343 |
Provider Name | Jessica S Huntley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750733093 PECOS PAC ID: 6406274307 Enrollment ID: I20200909001547 |
Provider Name | Carolina Flickinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295717262 PECOS PAC ID: 8729030309 Enrollment ID: I20201105002729 |
Provider Name | Angela Reynolds |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1962825877 PECOS PAC ID: 3375766850 Enrollment ID: I20210412000927 |
Provider Name | Nicolette C Strand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013484187 PECOS PAC ID: 9335472992 Enrollment ID: I20210428000314 |
Provider Name | Shannon Servin Obert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285861989 PECOS PAC ID: 5294911186 Enrollment ID: I20210709002727 |
Chief Redstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 6th Ave North, Wolf Point, MT 59201 Phone: 406-653-1641 Fax: 406-653-3728 |