NPIMap

Organization Active NPI

Central Montana Community Health Center, Inc.

Doing business as Basin Medical Center

  • Federally Qualified Health Center (FQHC)
  • Stanford, MT
National Provider Identifier
1679847016
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL MONTANA COMMUNITY HEALTH CENTER, INC.
Doing business as
Basin Medical Center
Practice address
94 Central Avenue
Suite 3
Stanford, MT 59479-0000
Phone
(406) 566-2773
Fax
(406) 566-2723
NPI assigned
Mar 2, 2012
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Leslie Lewis
Title
Ceo
Phone
(406) 535-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

94 Central Avenue
Suite 3
Stanford, MT 59479-0000

Mailing address

406 1St Ave S
Lewistown, MT 59457-3020
Phone (406) 535-6545

Other names 1

  • Basin Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000538 MT Part B Supplier - Clinic/Group Practice 3072674464 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewistown, MT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

224 W Main St
Ste 403
Lewistown, MT 59457
Phone (406) 535-6545

406 1st Ave S
Lewistown, MT 59457
Phone (406) 353-6545

94 Central Ave
#3
Stanford, MT 59479
Phone (406) 566-2773

94 Central Ave
Ste 3
Stanford, MT 59479
Phone (406) 566-2773

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1679847016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 1ST AVE S",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573020",
            "telephone_number": "406-535-6545",
            "fax_number": "406-535-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CENTRAL AVENUE",
            "address_2": "SUITE 3",
            "city": "STANFORD",
            "state": "MT",
            "postal_code": "594790000",
            "telephone_number": "406-566-2773",
            "fax_number": "406-566-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTANA COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-535-6545"
    },
    "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": "Basin Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.