HUCKLEBERRY HEALTHCARE INC
NPI 1710221296
Nurse Practitioner - Family in Great Falls, MT
NPI Status: Active since November 21, 2012
Contact Information
2517 7TH AVE S
B-3
GREAT FALLS, MT
ZIP 59405
Phone: (406) 315-3503
Fax: (406) 315-3505
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 27D2050036
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 11-18-2026
About HUCKLEBERRY HEALTHCARE INC
This page provides the complete NPI Profile along with additional information for Huckleberry Healthcare Inc, a provider established in Great Falls, Montana operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710221296 assigned on November 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 019237 (MT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Denise G Gresham Fnp (Owner)
- NPI
- 1710221296
- Provider Name
- HUCKLEBERRY HEALTHCARE INC
- Entity Type
- Organization
- Location Address
- 2517 7TH AVE S B-3 GREAT FALLS, MT 59405
- Location Phone
- (406) 315-3503
- Location Fax
- (406) 315-3505
- Mailing Address
- PO BOX 6191 GREAT FALLS, MT 59406
- Mailing Phone
- (406) 315-3503
- Mailing Fax
- (406) 315-3505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2012
- Last Update Date
- 11-26-2012
- Code Navigator
A nurse practitioner (NP) like Huckleberry Healthcare Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 019237
- License State
- MT
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D2050036
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 19, 2024
- Certificate Expiration Date
- November 18, 2026
- Laboratory Director
- MS. DENISE G. GRESHAM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Huckleberry Healthcare Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 2 | 2 | 1 | 2 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 4 | 2 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 4 + 2 + 2 + 2 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710221296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851441844 | MRS. JANE E WISSE-GOETZ MSPT Individual | Physical Therapist | 2517 7TH AVE S SUITE A-1 GREAT FALLS, MT 59405 (406) 771-0777 |
| 1245380393 | MR. JEFFREY A JOHNSON P.T. Individual | Physical Therapist | 2517 7TH AVE S SUITE A1 GREAT FALLS, MT 59405 (406) 771-0777 |
| 1538348545 | K4JPC Organization | Physical Therapist | 2517 7TH AVE S SUITE A-1 GREAT FALLS, MT 59405 (406) 771-0777 |
| 1235234915 | ANNA CHRISTINE GROTBO APRN, FNP Individual | Nurse Practitioner (Family) | 2517 7TH AVE S B-3 GREAT FALLS, MT 59405 (406) 315-3503 |
| 1750383287 | DENISE G GRESHAM FNP Individual | Nurse Practitioner (Family) | 2517 7TH AVE S B-3 GREAT FALLS, MT 59405 (406) 315-3503 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710221296, enumerated in the NPI registry as an "organization" on November 21, 2012
The provider is located at 2517 7th Ave S B-3 Great Falls, Mt 59405 and the phone number is (406) 315-3503
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 27D2050036 for a "practitioner other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on November 21, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.