Active NPI
Four O Six Family Practice LLC
- Family Medicine Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FOUR O SIX FAMILY PRACTICE LLC
- Practice address
- 2517 7TH Ave S Ste B2
Great Falls, MT 59405-3033 - Phone
- (406) 952-0061
- Fax
- (406) 952-0064
- NPI assigned
- Aug 31, 2019
- Last updated
- Jan 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bobby Gene Lucas, NP
- Title
- Owner
- Phone
- (406) 952-0061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2517 7TH Ave S Ste B2
Great Falls, MT 59405-3033
Mailing address
2517 7TH Ave S Ste B2
Great Falls, MT 59405-3033
Phone (406) 952-0061
National Provider Directory
National Provider DirectoryLocations
2517 7th Ave S
Ste B2
Great Falls, MT 59405
Phone (406) 952-0061
Interoperability endpoints
- https://api.platform.athenahealth.com/19931/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Great Falls, MT
- NPI 1770991804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579392000000",
"number": "1467000554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 7TH AVE S STE B2",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594053033",
"telephone_number": "406-952-0061",
"fax_number": "406-952-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 7TH AVE S STE B2",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594053033",
"telephone_number": "406-952-0061",
"fax_number": "406-952-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR O SIX FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-31",
"last_updated": "2020-01-19",
"certification_date": "2020-01-19",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "GENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-952-0061",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.