Organization Active NPI

Family Medical Clinic PLLC

  • Family Medicine Physician
  • Townsend, MT
National Provider Identifier
1477640605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CLINIC PLLC
Practice address
100 N Oak St
Townsend, MT 59644-2306
Phone
(406) 266-5204
Fax
(406) 266-4428
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas England
Title
Owner and President of Mabco
Phone
(406) 495-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

100 N Oak St
Townsend, MT 59644-2306

Mailing address

PO Box 5179
Helena, MT 59604-5179
Phone (406) 495-7269

Other identifiers 1

IdentifierTypeStateIssuer
DB2795OtherMTRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707000771 MT Part B Supplier - Clinic/Group Practice 5890770929 Receives reassigned benefits from 1 practitioner
Practice locations: Townsend, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0410421Family Medical Clinic100 N Oak, Townsend, MT 59644Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

100 N Oak St
Townsend, MT 59644
Phone (406) 266-5204

220 Broadway St
Townsend, MT 59644
Phone (406) 226-5204

Practitioners & affiliated clinicians

Practitioners 2

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477640605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5179",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596045179",
            "telephone_number": "406-495-7269",
            "fax_number": "406-443-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N OAK ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442306",
            "telephone_number": "406-266-5204",
            "fax_number": "406-266-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT OF MABCO",
        "authorized_official_telephone_number": "406-495-7220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB2795",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.