Randy J. Lovell, DO, PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

RANDY J. LOVELL, DO, PC

Doing business as

Main Street Medical

Practice address

907 Main Street
Thompson Falls, MT 59873-0969

Phone

(406) 827-4307

Fax

(406) 827-9514

NPI assigned

Jul 23, 2008

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela M Frank

Title

Office Manager

Phone

(406) 827-4307

Specialties & licenses 1

Addresses

Other names 1

• MAIN STREET MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013172675. Details of each certification follow.

• CCN 273828 Rural health clinic · Active · Details

Rural health clinic certification: CCN 273828

Legal name

RANDY J LOVELL DO PC

Doing business as

MAIN STREET MEDICAL

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 29, 2008

Last certification

Jul 9, 2025

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Sep 4, 2002 in MT

Enrollment address

907 Main Street
Thompson Falls, MT 59873-0969

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Randy J Lovell DO PC

  • Nurse Practitioner
  • Thompson Falls, MT
  • NPI 1447314174

  2769479823

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Randy J Lovell DO PC

  • Nurse Practitioner
  • Thompson Falls, MT
  • NPI 1447314174

  O20080117000042

  Same enrollment

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Randy J Lovell, DO

  • Family Medicine Physician
  • Thompson Falls, MT
  • NPI 1003836313

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1013172675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598730969",
            "telephone_number": "406-827-4307",
            "fax_number": "406-827-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAIN STREET",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598730969",
            "telephone_number": "406-827-4307",
            "fax_number": "406-827-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY J. LOVELL, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-827-4307"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Associates, Inc.
• Theresa Anne O'Neil, RDH
• Linda Wren Parrish, LCSW
• Providence Health & Services Mt (PMG MT IHI Thompson Falls)
• Randy J Lovell DO PC
• Reflections Academy, Inc.
• Peter Reinschmidt, LAC
• Raoul Anthony Ribeiro, LCSW
• Haiden Bree Richmond, PHARMD
• River Town Dental Corporation

• Rural Health Clinic/Center in Thompson Falls, MT
• Providers in Thompson Falls, MT by specialty
• Rural Health Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.