NPIMap

Organization Active NPI

Community Hospital of Anaconda

Doing business as Southwest Montana Clinic

  • Family Medicine Physician
  • Butte, MT
National Provider Identifier
1205239076
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12768 Issued in MT
Legal business name
COMMUNITY HOSPITAL OF ANACONDA
Doing business as
Southwest Montana Clinic
Practice address
401 S Alabama St
Suite 6a
Butte, MT 59701-2315
Phone
(406) 782-2329
Fax
(406) 782-2892
NPI assigned
Oct 7, 2014
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL OF ANACONDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Alice R Cortright
Title
Dept Dir PFS
Phone
(406) 563-8528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 12768 MT Primary

Addresses

Primary practice location

401 S Alabama St
Suite 6a
Butte, MT 59701-2315

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Other identifiers 2

IdentifierTypeStateIssuer
1205239076OtherMTNPI
12768OtherMTSTATE LICENSE

Other names 1

  • Southwest Montana Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000745 MT Part B Supplier - Clinic/Group Practice 8123938974 Receives reassigned benefits from 85 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaconda, MT; Philipsburg, MT; Butte, MT

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Comm Hosp Anaconda

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1205239076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 6A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-782-2329",
            "fax_number": "406-782-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF ANACONDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL OF ANACONDA",
        "enumeration_date": "2014-10-07",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "CORTRIGHT",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DEPT DIR PFS",
        "authorized_official_telephone_number": "406-563-8528"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205239076",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12768",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Montana Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.