NPIMap

Organization Active NPI

Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
National Provider Identifier
1801897780
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GREAT FALLS CLINIC LLC
Practice address
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 454-2171
NPI assigned
Aug 2, 2005
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1554 MT
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

3000 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Other practice location 1

1400 29th St S
Great Falls, MT 59405-5353
Phone (406) 454-2171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031209001107 MT Part B Supplier - Clinic/Group Practice 8325944499 Receives reassigned benefits from 146 practitioners
Practice locations: Great Falls, MT; Butte, MT

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
27D0410104Great Falls Clinic, Specialty Center3000 15TH Avenue South, Great Falls, MT 59405Certificate of waiverJan 21, 2028
27D1060009Great Falls Clinic - Main Building1400 29TH Street South, Great Falls, MT 59405Provider-performed microscopyNov 7, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • CMSC, LLC

    dba Great Falls Clinic Hospital

    • General Acute Care Hospital
    • Great Falls, MT
    • NPI 1639109978

    Member Of

    NPD member

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

300 W Mercury St
Fl 2
Butte, MT 59701
Phone (406) 268-3832

1301 11th Ave S
Great Falls, MT 59405
Phone (406) 455-2777

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

400 13th Ave S
Ste 203
Great Falls, MT 59405
Phone (406) 727-4584

2231 N Montana Ave
Helena, MT 59601
Phone (406) 389-8008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 185

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.

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1801897780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 29th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055353",
            "country_code": "US",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT FALLS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MT",
            "license": "1554",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.