Guardian Healthcare Centers

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GUARDIAN HEALTHCARE CENTERS

Practice address

39 Stevensville Cutoff Rd
Suite a
Stevensville, MT 59870-6496

Phone

(406) 361-1882

Fax

(206) 892-9678

NPI assigned

Apr 26, 2013

Organization subpart

Yes

Parent organization

NUWAY2P4U LLCAs reported in NPPES

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

Authorized official

Name

Mr. Guy A Jones

Title

Owner

Phone

(406) 361-1882

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1831533355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 STEVENSVILLE CUTOFF RD",
            "address_2": "SUITE A",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706496",
            "telephone_number": "406-361-1882",
            "fax_number": "206-892-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 STEVENSVILLE CUTOFF RD",
            "address_2": "SUITE A",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706496",
            "telephone_number": "406-361-1882",
            "fax_number": "206-892-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTHCARE CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUWAY2P4U LLC",
        "enumeration_date": "2013-04-26",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-361-1882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9901548",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette A Glasser, FNP
• Carson Chanell Gomez, APRN
• Lonnie Lee Gribnau, L.C.P.C.
• Adrienne Elizabeth Gross
• Daniel Joseph Gross, MD
• Hannah Georgia Hall
• David H Hammermeister Sr.
• David Lavoyd Hardin, D.C.
• Lora Ann Harris, LMT
• Tammy Harris, RPH

• All providers in Stevensville, MT
• Primary Care Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.