Active NPI
Clark's Orthopedic & Medical
- Durable Medical Equipment & Medical Supplies
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CLARK'S ORTHOPEDIC & MEDICAL
- Practice address
- 2808 Billings Ave
Helena, MT 59601-9768 - Phone
- (406) 442-6069
- Fax
- (406) 442-2765
- NPI assigned
- Mar 20, 2007
- Last updated
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard L Clark, CPO
- Title
- President
- Phone
- (406) 452-8428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2808 Billings Ave
Helena, MT 59601-9768
Mailing address
816 9TH St S
Great Falls, MT 59405-2136
Phone (406) 452-8428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0631176 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Clarks Ortho Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Great Falls, MT
- NPI 1952409906
Locations
816 9th St S
Great Falls, MT 59405
Phone (406) 452-8428
2808 Billings Ave
Helena, MT 59601
Phone (406) 442-6069
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetist
- Great Falls, MT
- NPI 1972334951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1104941095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 9TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052136",
"telephone_number": "406-452-8428",
"fax_number": "406-452-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 BILLINGS AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596019768",
"telephone_number": "406-442-6069",
"fax_number": "406-442-2765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK'S ORTHOPEDIC & MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-452-8428",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0631176",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.