Organization Active NPI

Coordicare Inc

  • Clinic/Center
  • Helena, MT
National Provider Identifier
1467824912
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
12731 Issued in MT
Legal business name
COORDICARE INC
Practice address
1223 Stetson Rd
Helena, MT 59602
Phone
(406) 594-1097
Fax
(406) 422-4262
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Jonathan Griffin, MD, MHA
Title
Nursing Home Medical Director
Phone
(406) 594-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 12731 MT Primary

Addresses

Primary practice location

1223 Stetson Rd
Helena, MT 59602

Mailing address

1223 Stetson Rd
Helena, MT 59602
Phone (406) 594-1097

Other identifiers 1

IdentifierTypeStateIssuer
12731OtherMTMT STATE LICENSE

National Provider Directory

National Provider Directory

Locations

2475 Winne Ave
Helena, MT 59601
Phone (206) 718-4490

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12423/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1467824912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 STETSON RD",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59602",
            "telephone_number": "406-594-1097",
            "fax_number": "406-422-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 STETSON RD",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59602",
            "telephone_number": "406-594-1097",
            "fax_number": "406-422-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "NURSING HOME MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "406-594-1097",
        "authorized_official_credential": "MD, MHA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "12731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE LICENSE",
            "identifier": "12731",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.