Randy Holland, PA-C
Individual provider Active NPI Physician Assistant · Havre, MT
NPI 1053422154 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1053422154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 191 (MT)
- Practice address
- 20 13TH St W
Havre, MT 59501-5215 - Phone
- (406) 265-7831
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plains Hospital Corporation
Practice addresses (Care Compare)
10 Kruger Rd
Plains, MT 59859-9262
10 Kruger Rd
Plains, MT 59859-9271
Phone (406) 826-4813
Hospital & facility affiliations
- Clark Fork Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151202001626 | MT | Practitioner - Physician Assistant | 5496787491 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191 | MT | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Montana Hospital | Current |
Accepting new patients | |
| Plains Hospital Corporation | Current |
Accepting new patients | |
| Plains Hospital Corporation | Current |
Accepting new patients | |
| Northern Montana Hospital | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
20 13th St W
Havre, MT 59501
Phone (406) 262-1701
30 13th St
Havre, MT 59501
Phone (406) 262-1302
124 13th St
Havre, MT 59501
Phone (406) 265-5408
Interoperability endpoints
- rholland3557131@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 191 | MT | Yes |
Addresses
Primary practice location
20 13TH St W
Havre, MT 59501-5215
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 265-2211
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.