Organization Active NPI

Glenn McLaughlin MD PC

  • Clinic/Center
  • Butte, MT
National Provider Identifier
1194915744
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6220 Issued in MT
Legal business name
GLENN MCLAUGHLIN MD PC
Practice address
401 S Alabama St
Suite 1
Butte, MT 59701-2315
Phone
(406) 465-0787
Fax
(406) 723-8063
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Glenn McLaughlin, MD
Title
President
Phone
(406) 465-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6220 MT Primary

Addresses

Primary practice location

401 S Alabama St
Suite 1
Butte, MT 59701-2315

Mailing address

401 S Alabama St
Suite 1
Butte, MT 59701-2315
Phone (406) 465-0787

Other identifiers 2

IdentifierTypeStateIssuer
DG6340OtherMTRAILROAD MEDICARE
0118274MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1194915744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-465-0787",
            "fax_number": "406-723-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-465-0787",
            "fax_number": "406-723-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN MCLAUGHLIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-465-0787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "6220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6340",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118274",
            "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 Jul 8, 2009; 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.