NPIMap

Organization Active NPI

Teton Medical Center

  • Emergency Care Clinic/Center
  • Choteau, MT
National Provider Identifier
1013045590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
TETON MEDICAL CENTER
Practice address
915 4TH St NW
Choteau, MT 59422-9123
Phone
(406) 466-5763
Fax
(406) 466-5852
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bryan W. Chalmers
Title
Chief Financial Officer
Phone
(406) 466-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

915 4TH St NW
Choteau, MT 59422-9123

Mailing address

915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-5763

Other identifiers 3

IdentifierTypeStateIssuer
4108143MedicaidMT
3100357MedicaidMT
311597MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Teton Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013045590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "406-466-5763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108143",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100357",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311597",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.