Organization Active NPI

High Country Lung & Sleep Disorders Clinic, PC

  • Pulmonary Disease Physician
  • Butte, MT
National Provider Identifier
1184969842
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
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

Updated by the provider on Jun 10, 2013

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0108375MedicaidMT
0000000031OtherMTBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.