Liberty County Hospital And Nursing Home, Inc | |
418 West Monroe Avenue Chester MT 59522-0506 | |
(406) 759-5194 | |
Not Available |
Full Name | Liberty County Hospital And Nursing Home, Inc |
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Speciality | Clinic/Center |
Location | 418 West Monroe Avenue, Chester, Montana |
Authorized Official Name and Position | Cherie Taylor (PRESIDENT) |
Authorized Official Contact | 4068733736 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberty County Hospital And Nursing Home, Inc Po Box 705 Chester MT 59522-0705 Ph: (406) 759-5194 | Liberty County Hospital And Nursing Home, Inc 418 West Monroe Avenue Chester MT 59522-0506 Ph: (406) 759-5194 |
NPI Number | 1003984097 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 04/30/2025 |
Medicare PECOS PAC ID | 0042128480 |
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Medicare Enrollment ID | O20040115000815 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003984097 | NPI | - | NPPES |
0720273 | Medicaid | MT | |
100001242 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Dennis L Peterson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205986460 PECOS PAC ID: 4789575945 Enrollment ID: I20040324001493 |
Provider Name | Bruce F Gray |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619038601 PECOS PAC ID: 7416849179 Enrollment ID: I20040326001107 |
Provider Name | Michael T Henson |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306907308 PECOS PAC ID: 0840261848 Enrollment ID: I20040803001569 |
Provider Name | Jay D Taylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376532309 PECOS PAC ID: 4587654538 Enrollment ID: I20051110000556 |
Provider Name | Lisa A Kincannon-ziegler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366612327 PECOS PAC ID: 7810942513 Enrollment ID: I20090122000700 |
Provider Name | Stephen G Milheim |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1962565432 PECOS PAC ID: 7416925961 Enrollment ID: I20090130000234 |
Provider Name | Nicholas Cade Cantrell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114185303 PECOS PAC ID: 2567536899 Enrollment ID: I20090828000259 |
Provider Name | Robert G Mitchell |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1750399564 PECOS PAC ID: 3173523768 Enrollment ID: I20090904000569 |
Provider Name | Anders G Engdahl |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841369295 PECOS PAC ID: 4385532407 Enrollment ID: I20100422001095 |
Provider Name | William R Benedetto |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1750452983 PECOS PAC ID: 6204867807 Enrollment ID: I20100429000659 |
Provider Name | Amy M Ramer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336417005 PECOS PAC ID: 8820255821 Enrollment ID: I20120202000453 |
Provider Name | Michelle Lynn Boltz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194843870 PECOS PAC ID: 3274684451 Enrollment ID: I20120803000715 |
Provider Name | Joseph T Krezowski |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1811149818 PECOS PAC ID: 6709910698 Enrollment ID: I20140725002125 |
Provider Name | Andrew Joseph Ferdinand |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801026737 PECOS PAC ID: 8325276108 Enrollment ID: I20150725012727 |
Provider Name | Alexis Harrison |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1861646382 PECOS PAC ID: 8123250875 Enrollment ID: I20150813011155 |
Provider Name | Kelly T Kieper |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1083888390 PECOS PAC ID: 7618101015 Enrollment ID: I20151119001203 |
Provider Name | Nathaniel L Hall |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1063695948 PECOS PAC ID: 5092958561 Enrollment ID: I20160620002304 |
Provider Name | Jared H Heimbigner |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1063405777 PECOS PAC ID: 5092723809 Enrollment ID: I20160714000921 |
Provider Name | Timothy R Blair |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891101689 PECOS PAC ID: 8628396678 Enrollment ID: I20161118002020 |
Provider Name | Bobby G Lucas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770991804 PECOS PAC ID: 5092936716 Enrollment ID: I20180116001788 |
Provider Name | Robert Love |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1952676157 PECOS PAC ID: 7113229543 Enrollment ID: I20180727001503 |
Provider Name | Wynand Nel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043669476 PECOS PAC ID: 6901187061 Enrollment ID: I20190814001779 |
Provider Name | Amanda Marie Engman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912568692 PECOS PAC ID: 6608103452 Enrollment ID: I20190816000720 |
Provider Name | James M Mckee |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669444733 PECOS PAC ID: 7810228509 Enrollment ID: I20191010001478 |
Provider Name | Valerie E K Stine |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639514003 PECOS PAC ID: 0840591053 Enrollment ID: I20191105000121 |
Provider Name | Christopher J Molloy |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639426935 PECOS PAC ID: 2860785417 Enrollment ID: I20200831000580 |
Provider Name | Emily L Hanson |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1205255494 PECOS PAC ID: 6709004252 Enrollment ID: I20200915000473 |
Provider Name | Chadwick Garner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609281807 PECOS PAC ID: 8224397807 Enrollment ID: I20200915001431 |
Provider Name | Chelsea Dunshee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295346823 PECOS PAC ID: 5294154514 Enrollment ID: I20201006000388 |
Provider Name | Christopher J Sharpe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356702203 PECOS PAC ID: 1153613112 Enrollment ID: I20201204002416 |
Provider Name | Mark Barnett Johnson |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740623818 PECOS PAC ID: 6305149766 Enrollment ID: I20210122000518 |
Provider Name | Scott A Alexander |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033236963 PECOS PAC ID: 8921104217 Enrollment ID: I20210224001933 |
Provider Name | Joshua H Duchesne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154749992 PECOS PAC ID: 7012136823 Enrollment ID: I20210915003391 |
Provider Name | Michael Cathey |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952371023 PECOS PAC ID: 2163662586 Enrollment ID: I20220916003347 |
Provider Name | Linda Boylan-starks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447238548 PECOS PAC ID: 9234151804 Enrollment ID: I20220923002621 |
Provider Name | Daniel P Davis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548204423 PECOS PAC ID: 5799810974 Enrollment ID: I20221027001237 |
Provider Name | Kara Heuvelhorst |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932558962 PECOS PAC ID: 3476813346 Enrollment ID: I20221207002714 |
Provider Name | Andrew J Ziegert |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770526980 PECOS PAC ID: 1355441411 Enrollment ID: I20230113001285 |
Provider Name | Kenneth Lindsey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649454257 PECOS PAC ID: 1355337999 Enrollment ID: I20230413001870 |
Provider Name | Erik Jacobson |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114389897 PECOS PAC ID: 2769727536 Enrollment ID: I20230703002836 |
Provider Name | Jason Hibbard |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235491846 PECOS PAC ID: 1355700386 Enrollment ID: I20230707003166 |
Provider Name | Ashley Kimmet |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386239069 PECOS PAC ID: 6103260898 Enrollment ID: I20240221002616 |