| Sapphire Community Health Inc | |
|
316 N 3rd St Hamilton MT 59840-2480 | |
| (406) 541-0032 | |
| (406) 541-0036 |
| Full Name | Sapphire Community Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 N 3rd St, Hamilton, Montana |
| Authorized Official Name and Position | Janet Woodburn (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4065410032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapphire Community Health Inc 316 N 3rd St Hamilton MT 59840-2480 Ph: (406) 541-0032 | Sapphire Community Health Inc 316 N 3rd St Hamilton MT 59840-2480 Ph: (406) 541-0032 |
| NPI Number | 1003146812 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 8123153244 |
|---|---|
| Medicare Enrollment ID | O20100315000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003146812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Brett D Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558550210 PECOS PAC ID: 6709779606 Enrollment ID: I20071226000341 |
| Provider Name | Johanna K Dreiling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114174414 PECOS PAC ID: 9739376351 Enrollment ID: I20101208001209 |
| Provider Name | Paul E Shingledecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245210392 PECOS PAC ID: 8426079377 Enrollment ID: I20160311002281 |
| Provider Name | Melanie E Goodnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588752869 PECOS PAC ID: 8022108059 Enrollment ID: I20160830001395 |
| Provider Name | Sarah C Rhinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811396815 PECOS PAC ID: 7214259548 Enrollment ID: I20170317001120 |
| Provider Name | Susan L Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346762127 PECOS PAC ID: 2668739244 Enrollment ID: I20171207000280 |
| Provider Name | Lauren Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780688 PECOS PAC ID: 3870812688 Enrollment ID: I20171218000273 |
| Provider Name | Deborah L Eckheart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871952796 PECOS PAC ID: 8921352261 Enrollment ID: I20181126001806 |
| Provider Name | Nora Caitlin Healy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578104253 PECOS PAC ID: 9032549423 Enrollment ID: I20200427001720 |
| Provider Name | Jason L Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356611230 PECOS PAC ID: 2860724119 Enrollment ID: I20210828000003 |
| Provider Name | Blythe Erin Siebenaller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821440223 PECOS PAC ID: 0547668022 Enrollment ID: I20211014000005 |
| Provider Name | Katherine C Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518691583 PECOS PAC ID: 6406231026 Enrollment ID: I20220919001665 |
| Provider Name | Elizabeth Dietrich Erikson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831577196 PECOS PAC ID: 8628321296 Enrollment ID: I20231031002378 |
| Provider Name | Evan Scott Gimpel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457120156 PECOS PAC ID: 7214373703 Enrollment ID: I20240306003514 |
| Provider Name | Jennifer Haley Richard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447843347 PECOS PAC ID: 9931545449 Enrollment ID: I20240306004201 |
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