Active NPI
Great Falls Clinic
Doing business as Choteau Clinic
- Rural Health Clinic/Center
- Choteau, MT
National Provider Identifier
1073781548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- GREAT FALLS CLINIC
- Doing business as
- Choteau Clinic
- Practice address
- 124 Main Avenue North
Choteau, MT 59422-9410 - Phone
- (406) 466-5255
- Fax
- (406) 466-5256
- NPI assigned
- Feb 18, 2008
- Last updated
- Jun 3, 2010
- Organization subpart
- Yes
- Parent organization
- GREAT FALLS CLINIC, LLP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin H Sinclair
- Title
- Chief Administrative Officer
- Phone
- (406) 454-2171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
124 Main Avenue North
Choteau, MT 59422-9410
Mailing address
1400 29TH St S
Great Falls, MT 59405-5353
Phone (406) 454-2141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720341 | Medicaid | MT |
Other names 1
- CHOTEAU CLINIC
National Provider Directory
National Provider Directory- Part of
- Great Falls Internists
Interoperability endpoints
- https://api.platform.athenahealth.com/10733/brand/1/csg/1/fhir/r4
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1073781548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 29TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055353",
"telephone_number": "406-454-2141",
"fax_number": "406-771-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MAIN AVENUE NORTH",
"city": "CHOTEAU",
"state": "MT",
"postal_code": "594229410",
"telephone_number": "406-466-5255",
"fax_number": "406-466-5256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT FALLS CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREAT FALLS CLINIC, LLP",
"enumeration_date": "2008-02-18",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "406-454-2171"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720341",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHOTEAU CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.