NPIMap

Organization Active NPI

Teton Medical Center

  • Occupational Therapist
  • Choteau, MT
National Provider Identifier
1659409852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
TETON MEDICAL CENTER
Practice address
915 4TH St NW
Choteau, MT 59422-9123
Phone
(406) 466-5763
Fax
(406) 466-5852
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bryan W. Chalmers
Title
Chief Financial Officer
Phone
(406) 466-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

915 4TH St NW
Choteau, MT 59422-9123

Mailing address

915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-5763

Other identifiers 3

IdentifierTypeStateIssuer
3100357MedicaidMT
4108143MedicaidMT
311597MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Teton Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659409852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "406-466-5763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100357",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108143",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311597",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.