WESTERN MONTANA CLINIC PC
NPI 1942253182
Clinic/Center - Multi-Specialty in Missoula, MT

NPI Status: Active since May 18, 2006

Contact Information

500 WEST BROADWAY
MISSOULA, MT
ZIP 59802
Phone: (406) 721-5600
Fax: (406) 721-3907

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • CLIA Number: 27D2107905
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 05-17-2026

About WESTERN MONTANA CLINIC PC

This page provides the complete NPI Profile along with additional information for Western Montana Clinic Pc, a provider established in Missoula, Montana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1942253182 assigned on May 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Dirk Gottman Md (President)

NPI
1942253182
Provider Name
WESTERN MONTANA CLINIC PC
Entity Type
Organization
Location Address
500 WEST BROADWAY MISSOULA, MT 59802
Location Phone
(406) 721-5600
Location Fax
(406) 721-3907
Mailing Address
PO BOX 7609 MISSOULA, MT 59807
Mailing Phone
(406) 721-5600
Mailing Fax
(406) 721-3907
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
07-06-2021
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DIRK GOTTMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(406) 721-5600

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
27D2107905
Facility Type
Independent
Certificate Effective Date
May 18, 2024
Certificate Expiration Date
May 17, 2026
Laboratory Director
ADAM A. VANREGENMORTER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Western Montana Clinic Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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.
1942253182
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982456116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 5 + 6 + 1 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1942253182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205880788 DIANE M YAHN MD
Individual
Internal Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1295789774 STANLEY H SEAGRAVES MD
Individual
Internal Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1528012937 HUGH ERIC HUGHSON MD
Individual
Internal Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1841245503 JOHN W GERWELS MD
Individual
Dermatology500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1114973229 MARGARET A EDDY MD
Individual
Internal Medicine (Nephrology)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1952342941 ELAINE M CARMICHAEL PT
Individual
Physical Therapist500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1831130608 JUDITH K VISSCHER MD
Individual
Family Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1750324059 CARLA E COX PHD RD CDE
Individual
Dietitian, Registered500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1518901818 C PAUL LOEHNEN MD
Individual
Internal Medicine (Pulmonary Disease)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1376579045 STEPHEN F SPECKART MD
Individual
Internal Medicine (Hematology & Oncology)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 728-2539
1053348854 DONALD R NEVIN MD
Individual
Family Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 721-5600
1205863016MONTANA CANCER SPECIALISTS PC
Organization
Internal Medicine (Hematology & Oncology)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 728-2539
1518994326 JOHN M TRAUSCHT MD
Individual
Internal Medicine (Hematology & Oncology)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 728-2539
1427219070MR. DAVID RALPH FIELDS MSW LAC
Individual
Counselor (Addiction (Substance Use Disorder))500 WEST BROADWAY SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER
MISSOULA, MT 59802
(406) 327-3200
1285895839MRS. KRISTIN ECKHOLM AIRHART LCSW
Individual
Social Worker (Clinical)500 WEST BROADWAY ST PATRICK HOSPITAL & HEALTH SCIENCES CENTER
MISSOULA, MT 59802
(406) 327-3209
1336300912MRS. SUZANNE EVANS GOOLD LCSW
Individual
Social Worker (Clinical)500 WEST BROADWAY SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER
MISSOULA, MT 59802
(406) 327-3219
1114229291DR. TERESA DIANE STANLEY PHARMD, BCPS
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)500 WEST BROADWAY
MISSOULA, MT 59802
(406) 329-5721
1245537018 DANIELLE LYNN SEBASTIAN PHARMD
Individual
Pharmacist500 WEST BROADWAY SAINT PATRICK HOSPITAL PHARMACY
MISSOULA, MT 59802
(406) 329-2767
1871548537 MARY C LANGENDERFER MD
Individual
Internal Medicine500 WEST BROADWAY
MISSOULA, MT 59802
(406) 329-7598
1629239272MS. KATHERINE KOSMA SCHWARTZ LCSW, LAC
Individual
Counselor (Addiction (Substance Use Disorder))500 WEST BROADWAY ST PATRICK HOSPITAL & HEALTH SCIENCES CENTER
MISSOULA, MT 59802
(406) 327-3022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942253182, enumerated in the NPI registry as an "organization" on May 18, 2006

The provider is located at 500 West Broadway Missoula, Mt 59802 and the phone number is (406) 721-5600

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana and Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 27D2107905 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 18, 2006. 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.