NPIMap

Organization Active NPI

Treasure State Orthotic and Prosthetic Clinic, Inc.

  • Prosthetic/Orthotic Supplier
  • Helena, MT
National Provider Identifier
1548587702
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TREASURE STATE ORTHOTIC AND PROSTHETIC CLINIC, INC.
Practice address
2110 Euclid Ave
Helena, MT 59601-1506
Phone
(406) 442-4871
Fax
(406) 442-4388
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Margaret Murfitt
Title
HR/Ap Director
Phone
(406) 585-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2110 Euclid Ave
Helena, MT 59601-1506

Mailing address

1648 Ellis St
Suite 102
Bozeman, MT 59715-8810
Phone (406) 585-1440

Other identifiers 1

IdentifierTypeStateIssuer
5607407MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006823 MT DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4789885351 Practice locations: Helena, MT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Treasure State Orthotic & Prostheti2110 Euclid Ave, Helena, MT 59601-1506(406) 442-4871 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Oct 21, 2005

National Provider Directory

National Provider Directory
Tax ID family
Treasure State Orthotic Prosthetic Clinic Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1648 Ellis St
Ste 102
Bozeman, MT 59715
Phone (406) 585-1438

2110 Euclid Ave
Helena, MT 59601
Phone (406) 442-4871

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1548587702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST",
            "address_2": "SUITE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158810",
            "telephone_number": "406-585-1440",
            "fax_number": "406-585-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EUCLID AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596011506",
            "telephone_number": "406-442-4871",
            "fax_number": "406-442-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE STATE ORTHOTIC AND PROSTHETIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "MURFITT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "HR/AP DIRECTOR",
        "authorized_official_telephone_number": "406-585-1440"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5607407",
            "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 Jul 7, 2021; 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.