Lincoln County Community Health Center Inc
A Medicare group practice based in Libby, MT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6507778537), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6507778537
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- MT
- Enrollments
- 4
- Group size
- 15 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040205001090 | MT | Part B Supplier - Clinic/Group Practice | 1477574713 |
| O20070319000658 | MT | Part A Provider - Federally Qualified Health Center (FQHC) | 1477574713 |
| O20240725000234 | MT | Part B Supplier - Pharmacy | 1417707837 |
| O20111201000416 | MT | Part A Provider - Federally Qualified Health Center (FQHC) | 1417243213 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lincoln County Community Health Center Inc
dba Northwest Community Health Center Pharmacy - Hwy 2
- Community/Retail Pharmacy
- Libby, MT
- NPI 1417707837
-
Lincoln County Community Health Center, Inc
dba Northwest Community Health Center
- Federally Qualified Health Center (FQHC)
- Troy, MT
- NPI 1417243213
-
Lincoln County Community Health Center, Inc.
dba Northwest Community Health Center
- Federally Qualified Health Center (FQHC)
- Libby, MT
- NPI 1477574713
Practice locations
- Libby, MT5
- Troy, MT2
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (15).
-
Jennifer Andersen
- Clinical Social Worker
- Libby, MT
- NPI 1215477013
-
Rita Haidle Billow, PH.D.
- Clinical Psychologist
- Eureka, MT
- NPI 1891943981
-
Michael Frank Breslow, M.D.
- Psychiatry Physician
- Libby, MT
- NPI 1841382207
-
Joseph D Chopyak, PAC
- Physician Assistant
- Libby, MT
- NPI 1730160888
-
Tony Albert Fantozzi, PA-C
- Medical Physician Assistant
- Libby, MT
- NPI 1346231289
-
Erin Flavin, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Libby, MT
- NPI 1619419405
-
Skyler Anthony Gallaway, PA-C
- Physician Assistant
- Libby, MT
- NPI 1902308950
-
Jana M Hall, MD
- Family Medicine Physician
- Libby, MT
- NPI 1063523629
-
Tanis Hernandez
- Clinical Social Worker
- Libby, MT
- NPI 1053043174
-
Stevi Meade, PA-C
- Physician Assistant
- Libby, MT
- NPI 1790505519
-
Robert J O'Rourke, MS, PA-C
- Physician Assistant
- Libby, MT
- NPI 1437640133
-
Nina Petrosyan, MD
- Family Medicine Physician
- Libby, MT
- NPI 1225667736
-
Samantha Lynn Pyle, MD
- Family Medicine Physician
- Libby, MT
- NPI 1447577317
-
Douglas Richardson
- Professional Counselor
- Libby, MT
- NPI 1407220809
-
Virginia Kelli Rosas, FNP
- Family Nurse Practitioner
- Libby, MT
- NPI 1851352389
-
Daniel Williams
- Family Medicine Physician
- Libby, MT
- NPI 1184155442
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.