Premier Care Pediatrics & Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

8726 Issued in MT

Legal business name

PREMIER CARE PEDIATRICS & FAMILY PRACTICE

Practice address

1300 28TH St S
Suite 6
Great Falls, MT 59405-5296

Phone

(406) 455-5437

Fax

(406) 455-4365

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jill Simmons

Title

Office Manager

Phone

(406) 455-5437

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Michael K Garver, MD

  • Pediatrics Physician
  • Great Falls, MT
  • NPI 1154322873
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1972811420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 28TH ST S",
            "address_2": "SUITE 6",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055296",
            "telephone_number": "406-455-5437",
            "fax_number": "406-455-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 28TH ST S",
            "address_2": "SUITE 6",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055296",
            "telephone_number": "406-455-5437",
            "fax_number": "406-455-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PEDIATRICS & FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-455-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "8726",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APN13634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117062",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Pottratz, RPH
• Carrie A Powell, NP
• Derik Powell, DDS
• Jessica Lynn Powell, PHARMD, RPH
• Dan J Pradere, FNP
• Premier Care Pediatrics, LLC
• Prescription Design Hearing Aid Center, Inc.
• Rachelle Kassidi Preston, PHARMD
• Jessica M. Price
• Julie A Prigmore, M.A., L.C.P.C.

• Primary Care Clinic/Center in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Primary Care Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.