NPIMap

Organization Active NPI

Marianne M. Wilson

  • Home Health Registered Nurse
  • Cut Bank, MT
National Provider Identifier
1043385248
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN2262 Issued in MT
Legal business name
MARIANNE M. WILSON
Practice address
802 2ND Street SE
Cut Bank, MT 59427
Phone
(406) 873-2236
Fax
(406) 873-2867
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Ms. Marianne M. Wilson, RNC
Title
Owner Director
Phone
(406) 873-2236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0600X 013820809 MD
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X RN2262 MT Primary

Addresses

Primary practice location

802 2ND Street SE
Cut Bank, MT 59427

Mailing address

802 2ND Street SE
Cut Bank, MT 59427
Phone (406) 873-2236

Other identifiers 2

IdentifierTypeStateIssuer
7914000OtherMTBLUE CROSS BLUE SHIELD
740747MedicaidMT

Other names 1

  • Glacier Medical Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1043385248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND STREET SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "59427",
            "telephone_number": "406-873-2236",
            "fax_number": "406-873-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND STREET SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "59427",
            "telephone_number": "406-873-2236",
            "fax_number": "406-873-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE M. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "406-873-2236",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": "MD",
            "license": "013820809",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MT",
            "license": "RN2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7914000",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740747",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Medical Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cut Bank, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.