NPIMap

Organization Active NPI

Northwest Ehr Collaborative Inc.

  • Internal Medicine Physician
  • Anaconda, MT
National Provider Identifier
1366910291
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHWEST EHR COLLABORATIVE INC.
Practice address
606 E Park Ave
Anaconda, MT 59711-2469
Phone
(406) 563-7962
Fax
(406) 563-7180
NPI assigned
Nov 8, 2018
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
William Reiter, MDNPI 1982656229
Title
President
Phone
(406) 563-7962

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

606 E Park Ave
Anaconda, MT 59711-2469

Mailing address

606 E Park Ave
Anaconda, MT 59711-2469
Phone (406) 633-0546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190504000029 MT Part B Supplier - Clinic/Group Practice 8325380785 Receives reassigned benefits from 12 practitioners
Practice locations: Anaconda, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1366910291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112469",
            "telephone_number": "406-633-0546",
            "fax_number": "406-563-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112469",
            "telephone_number": "406-563-7962",
            "fax_number": "406-563-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EHR COLLABORATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-563-7962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.

Verify at the official NPI Registry.