GREAT FALLS CLINIC SURGERY CENTER LLC NPI 1447251327

NPI Information

NPI: 1447251327
Provider Name: GREAT FALLS CLINIC SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 27D1012802

Address:
1509 29TH ST S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 771-3500
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GREAT FALLS CLINIC SURGERY CENTER LLC is an ambulatory surgical clinic center in Great Falls, MT. GREAT FALLS CLINIC SURGERY CENTER LLC NPI is 1447251327. The provider is registered as an organization entity type.

The provider's business location address is:

1509 29TH ST S
GREAT FALLS, MT
ZIP 59405-363
Phone: (406) 771-3500
Fax: (406) 771-3501

The provider's authorized official is Cheryl D Cornwell .
The authorized official title is Chief Financial Officer and has the following contact phone number (406) 216-8057.

The CLIA number assigned to this NPI record is 27D1012802 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	9722	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27C0001016	OTHER		CMS (FORMERLY HCFA)
2	000005703	MEDICARE ID-TYPE UNSPECIFIED	MONTANA
3	0350829	MEDICAID	MONTANA
4	M000005703	MEDICARE OSCAR/CERTIFICATION	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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