Active NPI
Cottonwood Clinic, LLC
- Clinic/Center
- Deer Lodge, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COTTONWOOD CLINIC, LLC
- Practice address
- 310 Main St
Deer Lodge, MT 59722-1000 - Phone
- (406) 846-4275
- Fax
- (406) 846-7278
- NPI assigned
- Mar 10, 2014
- Last updated
- Mar 12, 2024
- 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
- Heide Lynn Applegate, FNP-C
- Title
- Owner, NP
- Phone
- (406) 846-4275
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | 25000 | MT |
Addresses
Primary practice location
310 Main St
Deer Lodge, MT 59722-1000
Mailing address
310 Main St
Deer Lodge, MT 59722-1000
Phone (406) 846-4275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2076119 | Cottonwood Clinic, LLC | Certificate of waiver | Apr 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
310 Main St
Deer Lodge, MT 59722
Phone (406) 846-3448
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Deer Lodge, MT
- NPI 1043337140
-
- Family Nurse Practitioner
- Deer Lodge, MT
- NPI 1255075511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1306262803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221000",
"telephone_number": "406-846-4275",
"fax_number": "406-846-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221000",
"telephone_number": "406-846-4275",
"fax_number": "406-846-7278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTONWOOD CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "APPLEGATE",
"authorized_official_first_name": "HEIDE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER, NP",
"authorized_official_telephone_number": "406-846-4275",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "25000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Lodge, MT
- Heide Lynn Applegate, FNP
- Barb H Bailey, PA-C
- Leonard Joseph Bauer, M.D.
- Dana Marie Beck, P.T.
- BSCH Deer Lodge LLC (Mountain Valley Nursing and Rehabilitation)
- Allison V Cox, RDH
- Jodi Lynn Cozby, FNP - C
- Daniel Sean Curran, FNP
- Deer Lodge Care Holdings, LLC (Invigorate Post Acute of Deer Lodge)
- Deer Lodge Nursing and Rehab Center, LLC (Mountain Valley Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.