Organization Active NPI

Fairfield Medical Clinic LLP

  • Primary Care Clinic/Center
  • Fairfield, MT
National Provider Identifier
1346500840
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15597 Issued in MT
Legal business name
FAIRFIELD MEDICAL CLINIC LLP
Practice address
223 W Main
Fairfield, MT 59436-0885
Phone
(406) 467-2600
Fax
(406) 467-3210
NPI assigned
May 18, 2012
Last updated
May 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Stephanie L Catron, NP
Title
Owner
Phone
(406) 467-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15597 MT Primary

Addresses

Primary practice location

223 W Main
Fairfield, MT 59436-0885

Mailing address

PO Box 885
Fairfield, MT 59436-0885
Phone (406) 467-2600

Other identifiers 3

IdentifierTypeStateIssuer
000037405OtherMTBCBS
0434486MedicaidMT
500002829OtherMTRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1346500840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594360885",
            "telephone_number": "406-467-2600",
            "fax_number": "406-467-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594360885",
            "telephone_number": "406-467-2600",
            "fax_number": "406-467-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "CATRON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-467-2600",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "15597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000037405",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434486",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500002829",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.