Active NPI
High Country Lung & Sleep Disorders Clinic, PC
- Pulmonary Disease Physician
- Butte, MT
National Provider Identifier
1184969842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- HIGH COUNTRY LUNG & SLEEP DISORDERS CLINIC, PC
- Practice address
- 505 W Park St
Suite a
Butte, MT 59701-9106 - Phone
- (406) 782-8988
- Fax
- (406) 782-3566
- NPI assigned
- Dec 6, 2012
- 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
- Dr. Keith Janes Popovich, MD
- Title
- Owner
- Phone
- (406) 782-8988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
505 W Park St
Suite a
Butte, MT 59701-9106
Mailing address
505 W Park St
Suite a
Butte, MT 59701-9106
Phone (406) 782-8988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108375 | Medicaid | MT | |
| 0000000031 | Other | MT | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1184969842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W PARK ST",
"address_2": "SUITE A",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019106",
"telephone_number": "406-782-8988",
"fax_number": "406-782-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W PARK ST",
"address_2": "SUITE A",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019106",
"telephone_number": "406-782-8988",
"fax_number": "406-782-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH COUNTRY LUNG & SLEEP DISORDERS CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "POPOVICH",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "JANES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-782-8988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108375",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000000031",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.