Organization Active NPI

Four O Six Family Practice LLC

  • Family Medicine Physician
  • Great Falls, MT
National Provider Identifier
1467000554
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19931/brand/1/csg/1/fhir/r4

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.

Verify at the official NPI Registry.