| Phillips County Family Health Clinic | |
|
315 Sth 8th Ave E Malta MT 59538 | |
| (406) 654-1800 | |
| (406) 654-1700 |
| Full Name | Phillips County Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 Sth 8th Ave E, Malta, Montana |
| Authorized Official Name and Position | Steph Denham (CFO) |
| Authorized Official Contact | 4066541800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips County Family Health Clinic 315 Sth 8th Ave E Malta MT 59538 Ph: (406) 654-1800 | Phillips County Family Health Clinic 315 Sth 8th Ave E Malta MT 59538 Ph: (406) 654-1800 |
| NPI Number | 1205038379 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 5092757245 |
|---|---|
| Medicare Enrollment ID | O20050526000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205038379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Brenda D Koessl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619104536 PECOS PAC ID: 8527113687 Enrollment ID: I20090826000430 |
| Provider Name | Melanie A Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891941662 PECOS PAC ID: 1557534252 Enrollment ID: I20130715000466 |
| Provider Name | Theresa Roseann Ohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972973477 PECOS PAC ID: 7214239938 Enrollment ID: I20160112001117 |
| Provider Name | Eli Karinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497263735 PECOS PAC ID: 2961766571 Enrollment ID: I20180508000741 |
| Provider Name | Karen Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185882 PECOS PAC ID: 2567756786 Enrollment ID: I20220504002510 |
| Provider Name | Ivan Mustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497727804 PECOS PAC ID: 0042123275 Enrollment ID: I20220701001531 |
| Provider Name | Sterling James Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974057 PECOS PAC ID: 4284003088 Enrollment ID: I20221219001425 |
| Provider Name | Charles Lanzillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417120312 PECOS PAC ID: 3375859366 Enrollment ID: I20230125002951 |
| Provider Name | Aubrey Ann Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053090381 PECOS PAC ID: 7012368194 Enrollment ID: I20240112003477 |
| Provider Name | Jesse Brockie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801339494 PECOS PAC ID: 5294170973 Enrollment ID: I20240304003695 |
Malta Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 South Central Ave, Malta, MT 59538 Phone: 406-654-2878 Fax: 406-654-2810 | |
Jess Np Family Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 S Central Ave, Malta, MT 59538 Phone: 406-654-1953 Fax: 406-654-5204 | |
Newbern Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 South Central Avenue, Malta, MT 59538 Phone: 406-654-1953 |