Lincoln County Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LINCOLN COUNTY COMMUNITY HEALTH CENTER

Doing business as

Northwest Community Health Center

Practice address

100 Dewey Ave
Eureka, MT 59917

Phone

(406) 297-7220

Fax

(406) 297-7221

NPI assigned

Jul 1, 2011

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

LINCOLN COUNTY COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Maria Clemons

Title

Executive Director

Phone

(406) 283-6919

Specialties & licenses 1

Addresses

Other names 1

• Northwest Community Health Center Doing business as

Part of

Lincoln County Communit

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1568759249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEWEY AVE",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "59917",
            "telephone_number": "406-297-7220",
            "fax_number": "406-297-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN COUNTY COMMUNITY HEALTH CENTER",
        "enumeration_date": "2011-07-01",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-283-6919"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Kimbrell, LCSW
• Jenny M Komac, D.C.
• Kootenai Vision Centers PC
• Larry J Lawler, M.S.C, L.C.P.C
• Karen Joann Lee, RDH
• Logan Health - Whitefish (Logan Health Rural Health Clinic- Eureka)
• Dana Longstreth, SLP
• Reagan Matsumoto
• Rachelle Elaine McCully
• James D. McMartin, LCPC

• Federally Qualified Health Center (FQHC) in Eureka, MT
• Providers in Eureka, MT by specialty
• Federally Qualified Health Center (FQHC) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.