Pondera Medical Center
Organization Active NPI Physician Assistant · Conrad, MT
NPI 1487724399 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487724399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 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
- Organization subpart
- No
Authorized official
- Name
- Carl Jim Christensen
- Title
- Ceo
- Phone
- (406) 271-2202
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Pondera Med Center
Locations
805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | Yes |
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
Other providers in Conrad, MT
- North Central Area Agency on Aging
- Onyx Counseling & Consultation
- Jesse T Parks
- Pondera County
- Pondera Medical Center
- Pondera Medical Center
- Pondera Medical Center Eye Clinic PLLC
- Pondera Medical Center O
- Pondera Medical Center Rural Health Clinic
- Larry D Powell
All providers in Conrad, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.