Whitehall Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WHITEHALL MEDICAL CLINIC

Practice address

108 W 1St St
Whitehall, MT 59759-0339

Phone

(406) 287-3003

Fax

(406) 287-3014

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Gayle Faye Sacry, M.D.NPI 1821083452

Title

General Partner

Phone

(406) 287-3003

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gayle Faye Sacry, M.D.

  • Family Medicine Physician
  • Whitehall, MT
  • NPI 1821083452
  Medicare reassignment Care Compare group NPD Authorized official
• Terry Don Reiff, D.O.

  • Family Medicine Physician
  • Whitehall, MT
  • NPI 1316932940
  Medicare reassignment Care Compare group NPD
• Steven Forest Sacry, PA-C

  • Physician Assistant
  • Whitehall, MT
  • NPI 1629064266
  Medicare reassignment Care Compare group
• Eve Cruea, FNP-C

  • Primary Care Nurse Practitioner
  • Butte, MT
  • NPI 1275344434
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1124013719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "address_2": "108 FIRST ST W",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597590339",
            "telephone_number": "406-287-3003",
            "fax_number": "406-287-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 1ST ST",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597590339",
            "telephone_number": "406-287-3003",
            "fax_number": "406-287-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "SACRY",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "406-287-3003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP CLINIC",
            "identifier": "184739200",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE CLIA ID",
            "identifier": "27D0410762",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9989993",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Forest Sacry, PA-C
• Town of Whitehall
• Traveling Mama Enterprises, LLC
• Lisa Turk
• Whitehall Chiropractic PC
• Whitehall Pharmacy Inc
• Whitehall Public Schools
• Brandy Lynn Yates, LMT

• Family Medicine Physician in Whitehall, MT
• Providers in Whitehall, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.