NPIMap

Organization Active NPI

County of Garfield

Doing business as Garfield County Clinic

  • Rural Health Clinic/Center
  • Jordan, MT
National Provider Identifier
1427508365
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COUNTY OF GARFIELD
Doing business as
Garfield County Clinic
Practice address
332 Leavitt Avenue
Jordan, MT 59337-0389
Phone
(406) 557-2500
Fax
(406) 557-2951
NPI assigned
Oct 4, 2016
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Edward Collins
Title
Commissioner
Phone
(406) 557-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

332 Leavitt Avenue
Jordan, MT 59337-0389

Mailing address

PO Box 389
Jordan, MT 59337-0389
Phone (406) 557-2500

Other names 1

  • Garfield County Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120222000586 MT Part B Supplier - Clinic/Group Practice 8325178551 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
Practice locations: Jordan, MT
O20180724003246 MT Part A Provider - Rural Health Clinic 8325178551 Practice locations: Jordan, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427508365. Details of each certification follow.

Rural health clinic certification: CCN 273434

Legal name
COUNTY OF GARFIELD
Doing business as
GARFIELD COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 26, 2020
Last certification
Aug 26, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
332 Leavitt Ave
Jordan, MT 59337-0389
Related CCNs
270779

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward G Collins Individual Corporate DirectorCommissioner Aug 26, 2020 100%
Carla McWilliams Individual Corporate DirectorCommissioner Jan 2, 2024 100%
Krista Wright Individual Contracted Managing EmployeeAd; Jan 29, 2025 100%
Operational/Managerial ControlAdministrator Jan 29, 2025 100%
County of Garfield Organization, Jordan, MT Non-profit Operational/Managerial Control Aug 26, 2020 100%
Kelly T Witt Individual Corporate DirectorCommissioner Aug 26, 2020 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Garfield County Health CenterJordan, MT, CCN 270779 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 5, 2026
Jan 5, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Garfield

    dba Garfield County Health Center

    • Critical Access Hospital
    • Jordan, MT
    • NPI 1053381483

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1427508365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "593370389",
            "telephone_number": "406-557-2500",
            "fax_number": "406-557-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LEAVITT AVENUE",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "593370389",
            "telephone_number": "406-557-2500",
            "fax_number": "406-557-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GARFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "406-557-2500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield County Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garfield County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jordan, MT

Sources for this page

Verify at the official NPI Registry.