NPIMap

Individual provider Active NPI

Glenne Gunther, MD

  • Internal Medicine Physician
  • Libby, MT
National Provider Identifier
1629044276
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6030 Issued in MT
Practice address
211 E 2ND Street
Libby, MT 59923
Phone
(406) 293-8711
Fax
(406) 293-8735
NPI assigned
Feb 24, 2006
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6030 MT Primary

Addresses

Primary practice location

211 E 2ND Street
Libby, MT 59923

Mailing address

211 E 2ND St
Libby, MT 59923
Phone (406) 293-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000917 MT Practitioner - Family PracticePractitioner - Internal Medicine 4385614932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Tufts University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians
Libby ClinicGroup PAC ID 5496725038, 6 clinicians

Practice addresses (Care Compare)

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7000

211 E 2ND St
Libby, MT 59923-2047
Phone (406) 293-8711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Libby Clinic CurrentSince Aug 1, 1987 Accepting new patients
St John's Lutheran Hospital Physician's Services Current Accepting new patients
St. John's Lutheran Hospital, Inc. CurrentSince Aug 1, 1987 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients
Libby of Cascadia, LLC Past Accepting new patients

Locations

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

211 E 2nd St
Libby, MT 59923
Phone (406) 293-8711

401 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7440

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Libby ClinicLibby, MT, CCN 273826 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) Jun 1, 1987

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1629044276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "59923",
            "telephone_number": "406-293-8711",
            "fax_number": "406-293-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 2ND STREET",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "59923",
            "telephone_number": "406-293-8711",
            "fax_number": "406-293-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "GLENNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.