Anita L Beach, NP
Individual provider Active NPI Family Medicine Physician · Whitefish, MT
NPI 1922064401 · NPPES record last updated Nov 30, 2009
Key facts
- NPI
- 1922064401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- RN024700 (MT)
- Practice address
- 1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901 - Phone
- (406) 862-2515
- Fax
- (406) 862-4229
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN024700 | MT | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN024700 | MT | Yes |
Addresses
Primary practice location
1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Mailing address
1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Phone (406) 862-2515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN024700 | Other | MT | MONTANA STATE LICENSE |
| 500004073 | Other | MT | RAILROAD MEDICARE PIN# |
| 27D0411341 | Other | MT | CLIA ID#---LAB CERT |
| 0432157 | Medicaid | MT | |
| 1104882232 | Other | MT | GLACIER MEDICAL ASSOC NPI |
| CI2709 | Other | NV | RAILROAD MEDICARE GRP ID# |
| 000037436 | Other | MT | BLUE CORSS/SHIELD PIN |
| 810350909 | Other | MT | FEIN |
| 000008287 | Other | MT | MEDICARE PART B GRP ID# |
Other providers in Whitefish, MT
- Heather Barranger
- Mary Jane Barrett
- Julie Barter
- Shanon Bartosik
- Therin Jo Baum
- Dennis Randall Beach
- Sandra Beale
- Donald R. Beans
- Bear Paw Pediatrics
- Tanner Benedict
All providers in Whitefish, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.