Glenne Gunther, MD
Individual provider Active NPI Internal Medicine Physician · Libby, MT
NPI 1629044276 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1629044276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 6030 (MT)
- Practice address
- 211 E 2ND Street
Libby, MT 59923 - Phone
- (406) 293-8711
- Fax
- (406) 293-8735
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Johns Lutheran Hospital Inc
Libby Clinic
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
- Eden Home Health
- Cabinet Peaks Medical Center
- Libby Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Libby Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) | Jun 1, 1987 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000917 | MT | Practitioner - Family Practice |
4385614932 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John'S Lutheran Hospital, Inc. | Current |
Accepting new patients | |
| St John'S Lutheran Hospital Physician'S Services | Current | Accepting new patients | |
| Libby Clinic | Current |
Accepting new patients | |
| Libby of Cascadia, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000
401 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7440
211 E 2nd St
Libby, MT 59923
Phone (406) 293-8711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6030 | MT | Yes |
Addresses
Primary practice location
211 E 2ND Street
Libby, MT 59923
Mailing address
211 E 2ND St
Libby, MT 59923
Phone (406) 293-8711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273826 | Other | RURAL HEALTH MCR | |
| 0062491 | Medicaid | MT | |
| 0730431 | Other | RURAL HEALTH MCD |
Other providers in Libby, MT
- Jennifer Denise Giager-Meyer
- Good Medicine Therapy Center PLLC
- Cheryl Gourley
- Randy Lee Guinard
- Kraig David Gunelson
- Nicole Desiree Haats
- Natasha Haines
- Jana M Hall
- Olivia Marie Hall
- Kevin Russell Hayworth
All providers in Libby, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.