Frances Mahon Deaconess Hospital
Organization Active NPI Diagnostic Radiology Physician · Glasgow, MT
NPI 1013021500 · NPPES record last updated Dec 3, 2009
Key facts
- NPI
- 1013021500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- FRANCES MAHON DEACONESS HOSPITAL
- Practice address
- 621 3Rd St S
Glasgow, MT 59230-2604 - Phone
- (406) 228-3500
- Fax
- (406) 228-3533
- NPI assigned
- Aug 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FRANCES MAHON DEACONESS HOSPITAL
Authorized official
- Name
- Mr. Del Gienger
- Title
- Director of Financial Services
- Phone
- (406) 228-3615
Other NPIs on the same Medicare enrollment 2
Practitioners 58
-
Kristina Bengochea, LCPC
-
Andrew Fahlgren, MD
-
Kyle Jeffrey Gibson, APRN
-
Chelsea Headley, PA-C
-
Mark Andrew Hiesterman, D.O.
-
Amy Hopstad, MD
-
Timothy John Johnston, CRNA
-
David Arthur Knierim, M.D.
-
Brenda Dawn Koessl, FNP-C
-
James Alton Martin, PH.D.
-
Brean Drew McCarthy, D.O.
-
Anne M Millard, M.D.
-
Nicole Nelson, PA
-
Kevin Allen Ross, MD
-
Sharlene Roxanne Schmidt, M.S.
-
Wade See, M.D.
-
Emily M Stevenson, PA-C
-
Jeremy John Stringer, DNP CRNA
-
Gaye Lynn Stulc, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000918 | MT | Part B Supplier - Clinic/Group Practice | 3173430949 |
Receives reassigned benefits from 42 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glasgow, MT |
National Provider Directory
- Part of
- Lawrence D Bockar MD
Locations
621 3rd St S
Ste 1
Glasgow, MT 59230
Phone (406) 228-3500
221 5th Ave S
Glasgow, MT 59230
Phone (406) 228-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Nuclear Radiology Physician |
2085N0904X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Diagnostic Ultrasound Physician |
2085U0001X |
Addresses
Primary practice location
621 3Rd St S
Glasgow, MT 59230-2604
Mailing address
PO Box 307
Glasgow, MT 59230-0307
Phone (406) 228-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092150 | Other | MT | BC/BS RADIOLOGY |
| 0351949 | Medicaid | MT |
Other names
- Deaconess Radiology Service
Other providers in Glasgow, MT
- Andrew Fahlgren
- Mary Kathryn Fahlgren
- Stacey Fletcher Fast
- Michael J Fay
- Gerry Eugene Fink
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
All providers in Glasgow, MT · Diagnostic Radiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.