NPIMap

Individual provider Active NPI

Collin Urbanowicz

  • Medical Physician Assistant
  • Malmstrom Afb, MT
National Provider Identifier
1811340565
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone
(406) 731-4633
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 142751 MT
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701

Mailing address

7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone (406) 731-4633

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001528 MT Practitioner - Physician Assistant 9931635109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
142751MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Dec 15, 2024 Accepting new patients

Locations

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

Interoperability endpoints

  • Direct secure messaging: curbanowicz54335@benefishs.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals Inc 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

25 14TH Ave NW
Great Falls, MT 59404-1954
Phone (406) 455-5000

PO Box
Suite 6010
Great Falls, MT 59406-6010

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1811340565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANOWICZ",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "142751",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malmstrom Afb, MT

Sources for this page

Verify at the official NPI Registry.