Organization Active NPI

The Center for Asbestos Related Disease Inc

  • Health Service Clinic/Center
  • Libby, MT
National Provider Identifier
1013197912
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THE CENTER FOR ASBESTOS RELATED DISEASE INC
Practice address
214 E 3Rd St
Libby, MT 59923-2056
Phone
(406) 293-9274
Fax
(406) 293-9280
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Rachael Shelmerdine
Title
Patient Account Representative
Phone
(406) 293-9274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

214 E 3Rd St
Libby, MT 59923-2056

Mailing address

214 E 3Rd St
Libby, MT 59923-2056
Phone (406) 293-9274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000968 MT Part B Supplier - Clinic/Group Practice 2860431608 Receives reassigned benefits from 1 practitioner
Practice locations: Libby, MT

National Provider Directory

National Provider Directory

Locations

214 E 3rd St
Libby, MT 59923
Phone (406) 293-6236

118 W 3rd St
Libby, MT 59923
Phone (406) 293-9274

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1013197912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 3RD ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232056",
            "telephone_number": "406-293-9274",
            "fax_number": "406-293-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 3RD ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232056",
            "telephone_number": "406-293-9274",
            "fax_number": "406-293-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ASBESTOS RELATED DISEASE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SHELMERDINE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "PATIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "406-293-9274"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.