NPIMap

Organization Active NPI

Bitterroot Family Medicine, P.C.

Doing business as Family Medicine Center of the Bitterroot, P.C.

  • Primary Care Clinic/Center
  • Hamilton, MT
National Provider Identifier
1083727374
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BITTERROOT FAMILY MEDICINE, P.C.
Doing business as
Family Medicine Center of the Bitterroot, P.C.
Practice address
330 N 10TH St
Suite a
Hamilton, MT 59840-2319
Phone
(406) 363-3627
Fax
(406) 363-3638
NPI assigned
Aug 17, 2006
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mr. Craig S Myers
Title
Practice Administrator
Phone
(406) 363-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

330 N 10TH St
Suite a
Hamilton, MT 59840-2319

Mailing address

330 N 10TH St
Suite a
Hamilton, MT 59840-2319
Phone (406) 363-3627

Other identifiers 2

IdentifierTypeStateIssuer
27D1025693OtherMTCLIA #
9970670MedicaidMT

Other names 1

  • Family Medicine Center of the Bitterroot, P.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518001002 MT Part B Supplier - Clinic/Group Practice 7214928415 Receives reassigned benefits from 6 practitioners
Practice locations: Hamilton, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1083727374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402319",
            "telephone_number": "406-363-3627",
            "fax_number": "406-363-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402319",
            "telephone_number": "406-363-3627",
            "fax_number": "406-363-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERROOT FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "406-363-3627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "27D1025693",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9970670",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Center of the Bitterroot, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.