NPIMap

Organization Active NPI

Pondera Medical Center

  • Physician Assistant
  • Conrad, MT
National Provider Identifier
1487724399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
PONDERA MEDICAL CENTER
Practice address
805 Sunset Blvd.
Conrad, MT 59425-0758
Phone
(406) 271-2202
Fax
(406) 271-3917
NPI assigned
Nov 8, 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
Carl Jim Christensen
Title
Ceo
Phone
(406) 271-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

805 Sunset Blvd.
Conrad, MT 59425-0758

Mailing address

805 Sunset Blvd.
PO Box 758
Conrad, MT 59425-0758
Phone (406) 271-2202

National Provider Directory

National Provider Directory
Tax ID family
Pondera Med Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487724399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD.",
            "address_2": "PO BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-2202",
            "fax_number": "406-271-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD.",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-2202",
            "fax_number": "406-271-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDERA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-271-2202"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conrad, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.