NPIMap

Organization Active NPI

Evergreen, Inc

  • Clinic/Center
  • Kalispell, MT
National Provider Identifier
1689615874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVERGREEN, INC
Practice address
2181 Hwy 2, East
Suite 9
Kalispell, MT 59901
Phone
(406) 756-7225
NPI assigned
Jun 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Judith Neal Smith, NPNPI 1730120858
Title
Proprietor
Phone
(406) 756-7225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2181 Hwy 2, East
Suite 9
Kalispell, MT 59901

Mailing address

2181 Hwy 2, East
Suite 9
Kalispell, MT 59901
Phone (406) 756-7225

Other names 1

NPPES NPI Registry
  • Evergreen Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689615874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 HWY 2, EAST",
            "address_2": "SUITE 9",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-756-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 HWY 2, EAST",
            "address_2": "SUITE 9",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-756-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "406-756-7225",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, 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.