Prairie Winds Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHA-WDD-LIC-19064 Issued in MT

Legal business name

PRAIRIE WINDS MEDICAL LLC

Practice address

706 2ND St SE
Cut Bank, MT 59427-3341

Phone

(406) 873-5707

Fax

(406) 873-3118

NPI assigned

Oct 3, 2013

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tony Sitzmann

Title

Owner

Phone

(406) 450-0637

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1366879496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 2ND ST SE",
            "address_2": "PO BOX 1102",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273341",
            "telephone_number": "406-873-5707",
            "fax_number": "406-873-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 2ND ST SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273341",
            "telephone_number": "406-873-5707",
            "fax_number": "406-873-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WINDS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SITZMANN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-450-0637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "PHA-WDD-LIC-19064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA PHARMACY LICENSE",
            "identifier": "PHA-WDD-LIC-19064",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Healthcare Corporation (Choices)
• Debora O'Brien, MS LCPC
• Shreya Patel, PHARM D
• Justin Perry, PT, DPT
• Prairie Winds DME
• Gary Prescott, RPH
• Sarah Rayburn, DMD
• Alice Clark Reuman, LCSW
• Claire Louise Reynolds, RN, FNP-C
• Sandra J Robinson, DO

• Durable Medical Equipment & Medical Supplies in Cut Bank, MT
• Providers in Cut Bank, MT by specialty
• Durable Medical Equipment & Medical Supplies in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.