Active NPI
Clark's Orthopedic & Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DOES NOT APPLY IN MT
- Legal business name
- CLARK'S ORTHOPEDIC & MEDICAL, INC.
- Practice address
- 816 9TH St S
Great Falls, MT 59405-2136 - Phone
- (406) 452-8428
- Fax
- (406) 452-8741
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard L. Clark, CPO
- Title
- President
- Phone
- (406) 452-8428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DOES NOT APPLY IN MT | MT | Primary |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
816 9TH St S
Great Falls, MT 59405-2136
Mailing address
816 9TH St S
Great Falls, MT 59405-2136
Phone (406) 452-8428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0519142 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000557 | MT | DME Supplier - Medical Supply Company With Prosthetic Personnel | 7618094863 | Practice locations: Great Falls, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Clark's Orthopedic & Medical | Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Be… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Clarks Ortho Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Helena, MT
- NPI 1104941095
Locations
816 9th St S
Great Falls, MT 59405
Phone (406) 452-8428
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetist
- Great Falls, MT
- NPI 1972334951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1952409906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 9TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052136",
"telephone_number": "406-452-8428",
"fax_number": "406-452-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 9TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052136",
"telephone_number": "406-452-8428",
"fax_number": "406-452-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK'S ORTHOPEDIC & MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-452-8428",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MT",
"license": "DOES NOT APPLY IN MT",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0519142",
"state": "MT"
}
],
"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 Feb 13, 2025; 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.