NPIMap

Organization Active NPI

Yellowstone Family Medical Center Inc

  • Family Medicine Physician
  • West Yellowstone, MT
National Provider Identifier
1326149261
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10013 Issued in MT
Legal business name
YELLOWSTONE FAMILY MEDICAL CENTER INC
Practice address
236 Yellowstone Avenue
West Yellowstone, MT 59758-0427
Phone
(406) 646-0200
Fax
(406) 646-0400
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
L Elane Shirar, MD
Title
President
Phone
(406) 646-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10013 MT Primary

Addresses

Primary practice location

236 Yellowstone Avenue
West Yellowstone, MT 59758-0427

Mailing address

PO Box 427
236 Yellowstone Avenue
West Yellowstone, MT 59758-0427
Phone (406) 646-0200

Other identifiers 1

IdentifierTypeStateIssuer
9989343MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1326149261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "address_2": "236 YELLOWSTONE AVENUE",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597580427",
            "telephone_number": "406-646-0200",
            "fax_number": "406-646-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 YELLOWSTONE AVENUE",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597580427",
            "telephone_number": "406-646-0200",
            "fax_number": "406-646-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SHIRAR",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "ELANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-646-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9989343",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yellowstone, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.