NPIMap

Organization Active NPI

Forsyth Family Medicine PC

  • Clinic/Center
  • Forsyth, MT
National Provider Identifier
1437224243
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4811 Issued in MT
Legal business name
FORSYTH FAMILY MEDICINE PC
Practice address
281 N 17TH Avenue
Forsyth, MT 59327-0410
Phone
(406) 346-2916
Fax
(406) 346-7478
NPI assigned
Nov 21, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mrs. Jane Denise Deering
Title
Office Manager
Phone
(406) 346-2916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4811 MT Primary

Addresses

Primary practice location

281 N 17TH Avenue
Forsyth, MT 59327-0410

Mailing address

PO Box 410
281 N 17TH Avenue
Forsyth, MT 59327-0410
Phone (406) 346-2916

Other identifiers 2

IdentifierTypeStateIssuer
CJ4988OtherMTRAILROAD MEDICARE EDI #
0053329MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1437224243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "address_2": "281 N 17TH AVENUE",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270410",
            "telephone_number": "406-346-2916",
            "fax_number": "406-346-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N 17TH AVENUE",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270410",
            "telephone_number": "406-346-2916",
            "fax_number": "406-346-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-346-2916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "4811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE EDI #",
            "identifier": "CJ4988",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053329",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.