Glasgow Clinic, Inc.
Organization Active NPI Community/Retail Pharmacy · Glasgow, MT
NPI 1912913575 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1912913575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1223 (MT)
- Legal business name
- GLASGOW CLINIC, INC.
- Practice address
- 621 3Rd St S
Glasgow, MT 59230-2604 - Phone
- (406) 228-3693
- Fax
- (406) 228-3694
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Greg Page, RPH
- Title
- Pharmacist-in-Charge
- Phone
- (406) 672-9588
Member organizations 1
Practitioners 26
-
Stephen Hugh Abercrombie, CRNA
-
Janet K Armstrong, M.D.
-
Stephen Base, MD
-
Gordon L Bell, M.D.
-
Gerry Eugene Fink, CRNA, MS
-
Jimmy Gray, MD
-
Terry D Jones, M.D.
-
Brean Drew McCarthy, D.O.
-
Danette A McIntyre, FNP
-
Anne M Millard, M.D.
-
Summera Qamar, MD
-
Thomas Eugene Schultz, CRNA
-
Shere Howald Conway, M.D.
-
Jeremy A Idjadi, MD
-
Arin W Iman, D.O.
-
Daniel L. Junck, M.D.
-
Jeffrey Howard Klein, M.D.
-
William Shane Kyle, M.D.
-
Walter E. Martin, M.D.
-
Sarah J Oven, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 5TH Avenue Pharmacy & Gift |
Nebulizer Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220613000594 | MT | DME Supplier - Pharmacy | 5193639169 | Practice locations: Glasgow, MT |
National Provider Directory
Locations
7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1223 | MT | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
621 3Rd St S
Glasgow, MT 59230-2604
Mailing address
621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3693
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050167 | Other | PK | |
| 0000180349 | Medicaid | MT | |
| 8029760001 | Other | MEDICARE NSC |
Other names
- 5th Avenue Pharmacy & Gift
Other providers in Glasgow, MT
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
- Frances Mahon Deaconess Hospital
- Jack Michael Gasky
- Kyle Jeffrey Gibson
- Glasgow Dental Clinic, LLC
- Glasgow Eyecare
- Glasgow Pediatric Dentistry
- Glasgow Vision Center
- James Frederick Harris
All providers in Glasgow, MT · Community/Retail Pharmacy in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.