PREMIER CARE PEDIATRICS & FAMILY PRACTICE NPI 1972811420

NPI Information

NPI: 1972811420
Provider Name: PREMIER CARE PEDIATRICS & FAMILY PRACTICE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1300 28TH ST S
SUITE 6
GREAT FALLS, MT
ZIP 59405
Phone: (406) 455-5437
Get Directions

PREMIER CARE PEDIATRICS & FAMILY PRACTICE is a primary care clinic center in Great Falls, MT. PREMIER CARE PEDIATRICS & FAMILY PRACTICE NPI is 1972811420. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1300 28TH ST S
SUITE 6
GREAT FALLS, MT
ZIP 59405-296
Phone: (406) 455-5437
Fax: (406) 455-4365

The provider's authorized official is Jill Simmons .
The authorized official title is Office Manager and has the following contact phone number (406) 455-5437.

The enumeration date for this NPI number is 9/17/2010 and was last updated on 9/17/2010.

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	363LF0000X	Nurse Practitioner	Family	APN13634	MONTANA	No
2	261QP2300X	Clinic/Center	Primary Care	8726	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	0117062	MEDICAID	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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »