Organization Active NPI

House Calls Primary Healthcare, PLLC

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1215024435
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 11415 Issued in MT
Legal business name
HOUSE CALLS PRIMARY HEALTHCARE, PLLC
Practice address
3400 9TH Ave S Unit 7164
Great Falls, MT 59406-7320
Phone
(406) 799-6786
Fax
(406) 206-0769
NPI assigned
Oct 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Brandon Hawk, APRNNPI 1356793731
Title
Owner
Phone
(406) 799-6786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN 11415 MT Primary

Addresses

Primary practice location

3400 9TH Ave S Unit 7164
Great Falls, MT 59406-7320

Mailing address

3400 9TH Ave S Unit 7164
Great Falls, MT 59406-7320
Phone (406) 799-6786

Other identifiers 2

IdentifierTypeStateIssuer
37003OtherMTBCBS
0432848MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000283 MT Part B Supplier - Clinic/Group Practice 9436157005 Receives reassigned benefits from 2 practitioners
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Locations

3400 9th Ave S
Unit 7164
Great Falls, MT 59406
Phone (406) 799-6786

2316 US Highway 93 N
Kalispell, MT 59901
Phone (406) 755-3991

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1215024435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 9TH AVE S UNIT 7164",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594067320",
            "telephone_number": "406-799-6786",
            "fax_number": "406-206-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 9TH AVE S UNIT 7164",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594067320",
            "telephone_number": "406-799-6786",
            "fax_number": "406-206-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALLS PRIMARY HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-799-6786",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN 11415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37003",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432848",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.