NPIMap

Organization Active NPI

Livingston Healthcare Urgent Care

  • Urgent Care Clinic/Center
  • Livingston, MT
National Provider Identifier
1780077354
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LIVINGSTON HEALTHCARE URGENT CARE
Practice address
104 Centennial Dr Ste 103
Livingston, MT 59047-8101
Phone
(406) 222-0030
Fax
(406) 823-6244
NPI assigned
Mar 6, 2015
Organization subpart
Yes
Parent organization
LIVINGSTON HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Bren Lowe
Title
Ceo
Phone
(406) 823-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

104 Centennial Dr Ste 103
Livingston, MT 59047-8101

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

Other names 1

  • Livingston HealthCare Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031122000111 MT Part B Supplier - Clinic/Group Practice 5991613598 Receives reassigned benefits from 96 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardiner, MT; Wilsall, MT; Livingston, MT

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2093415Livingston Healthcare Urgent Care104 Centennial Drive Ste 103, Livingston, MT 59047Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory
Part of
Livingstonhealthcare Op Lab Xray

Locations

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780077354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-3541",
            "fax_number": "406-823-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CENTENNIAL DR STE 103",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478101",
            "telephone_number": "406-222-0030",
            "fax_number": "406-823-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON HEALTHCARE URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVINGSTON HEALTHCARE",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "BREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-823-6411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston HealthCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.