| Northwest Community Health Center | |
|
320 East Second Street Libby MT 59923 | |
| (406) 283-6900 | |
| (406) 293-6622 |
| Full Name | Northwest Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 East Second Street, Libby, Montana |
| Authorized Official Name and Position | Maria Clemons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4062836919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Community Health Center 320 East Second Street Libby MT 59923 Ph: (406) 283-6900 | Northwest Community Health Center 320 East Second Street Libby MT 59923 Ph: (406) 283-6900 |
| NPI Number | 1477574713 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 6507778537 |
|---|---|
| Medicare Enrollment ID | O20040205001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477574713 | NPI | - | NPPES |
| 0730320 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jana M Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063523629 PECOS PAC ID: 1557455904 Enrollment ID: I20070917000460 |
| Provider Name | Samantha Pyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447577317 PECOS PAC ID: 8628397643 Enrollment ID: I20160112002531 |
| Provider Name | Jennifer Irene Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215477013 PECOS PAC ID: 0244517464 Enrollment ID: I20170425002910 |
| Provider Name | Michael Frank Breslow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841382207 PECOS PAC ID: 4880022870 Enrollment ID: I20200325003456 |
| Provider Name | Daniel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184155442 PECOS PAC ID: 1456637008 Enrollment ID: I20201005002581 |
| Provider Name | Virginia K Rosas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851352389 PECOS PAC ID: 3173598554 Enrollment ID: I20210405002448 |
| Provider Name | Tanis Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053043174 PECOS PAC ID: 8729461066 Enrollment ID: I20220818001446 |
| Provider Name | Rita Haidle Billow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891943981 PECOS PAC ID: 5698143626 Enrollment ID: I20221123002106 |
| Provider Name | Douglas Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407220809 PECOS PAC ID: 8921450453 Enrollment ID: I20240119001697 |
Libby Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 Fax: 406-293-8735 | |
Northwest Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 Fax: 406-293-8735 | |
Lincoln County Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Montana Ave, Libby, MT 59923 Phone: 406-293-6291 Fax: 406-293-2435 | |
Northwest Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Education Way, Libby, MT 59923 Phone: 406-293-8802 Fax: 406-293-6622 | |
Foss Chiropractic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Dakota Ave, Libby, MT 59923 Phone: 406-293-8736 Fax: 406-293-8737 | |
Lincoln County Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Health Park Dr, Libby, MT 59923 Phone: 406-283-6900 |