Active NPI
House Calls Primary Healthcare, PLLC
- Family Nurse Practitioner
- Great Falls, MT
National Provider Identifier
1215024435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 11415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Hawk, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37003 | Other | MT | BCBS |
| 0432848 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Gerontology Nurse Practitioner
- Bozeman, MT
- NPI 1326403510
-
- Primary Care Nurse Practitioner
- Missoula, MT
- NPI 1942787379
-
- Gerontology Nurse Practitioner
- Great Falls, MT
- NPI 1447337852
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.