| Riverside Family Clinic | |
|
209 H St East Poplar MT 59255-0629 | |
| (406) 768-5171 | |
| (406) 768-6161 |
| Full Name | Riverside Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 H St East, Poplar, Montana |
| Authorized Official Name and Position | Margaret B Norgaard (CEO) |
| Authorized Official Contact | 4067686133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Clinic 209 1/2 H St East Po Box 629 Poplar MT 59255-0629 Ph: (406) 768-5171 | Riverside Family Clinic 209 H St East Poplar MT 59255-0629 Ph: (406) 768-5171 |
| NPI Number | 1255351862 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 7810989506 |
|---|---|
| Medicare Enrollment ID | O20040401001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255351862 | NPI | - | NPPES |
| 0720137 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Montana) | Primary |
| Provider Name | William M Higgs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922147693 PECOS PAC ID: 0749269967 Enrollment ID: I20040720000283 |
| Provider Name | Thomas E Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902937675 PECOS PAC ID: 8921071416 Enrollment ID: I20040813000429 |
| Provider Name | Danette A Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528171980 PECOS PAC ID: 6901862465 Enrollment ID: I20041206001221 |
| Provider Name | Benjamin J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255356291 PECOS PAC ID: 7517968225 Enrollment ID: I20070124000131 |
| Provider Name | Abby L Reum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609104595 PECOS PAC ID: 7214065697 Enrollment ID: I20100505000451 |
| Provider Name | Judith Ann Lauridsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124132378 PECOS PAC ID: 6507990934 Enrollment ID: I20100819001184 |
| Provider Name | Jeremiah L Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700016698 PECOS PAC ID: 2062688294 Enrollment ID: I20120110000268 |
| Provider Name | Kathy J Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730128463 PECOS PAC ID: 1759362502 Enrollment ID: I20150206000696 |
| Provider Name | Tony Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558759530 PECOS PAC ID: 5496076440 Enrollment ID: I20170612002335 |
| Provider Name | David P Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346272184 PECOS PAC ID: 6002718236 Enrollment ID: I20181008003438 |
| 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 | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20200313002171 |
| Provider Name | Joseph R Shollenbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235574328 PECOS PAC ID: 3375811003 Enrollment ID: I20201020003970 |
| Provider Name | Mike D Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368234 PECOS PAC ID: 8820387293 Enrollment ID: I20220311001179 |
| Provider Name | Carissa Giordani Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407587223 PECOS PAC ID: 3678940384 Enrollment ID: I20221109003390 |
| Provider Name | Tammy L Ballant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962847483 PECOS PAC ID: 0143461087 Enrollment ID: I20240404002255 |
| Provider Name | Moshe M Usadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629154554 PECOS PAC ID: 3476644543 Enrollment ID: I20240904001856 |
| Provider Name | Jesse Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245876655 PECOS PAC ID: 0244770394 Enrollment ID: I20240904003379 |
| Provider Name | Michael P Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225525058 PECOS PAC ID: 3375899636 Enrollment ID: I20240905003259 |
| Provider Name | Frances L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427335306 PECOS PAC ID: 1658512868 Enrollment ID: I20240920003266 |
| Provider Name | Jill A Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144734427 PECOS PAC ID: 7719246800 Enrollment ID: I20241021000444 |
| Provider Name | Abigaile Julio Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801508643 PECOS PAC ID: 2668907239 Enrollment ID: I20241120001577 |
| Provider Name | Deanna L Diulio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376072587 PECOS PAC ID: 8224395322 Enrollment ID: I20241203002153 |
| Provider Name | Bethany Mae Legare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164199329 PECOS PAC ID: 5294256749 Enrollment ID: I20250312003757 |
| Provider Name | Kaitlyn Haynie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699236109 PECOS PAC ID: 3971025545 Enrollment ID: I20250324002512 |
| Provider Name | Matthew Trout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235568650 PECOS PAC ID: 3577005230 Enrollment ID: I20250514003574 |
Fort Peck Tribes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Frontage Rd, Poplar, MT 59255 Phone: 406-768-6003 | |
Fort Peck Tribes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 4th Ave W, Poplar, MT 59255 Phone: 406-768-3384 |