LAKESIDE WELLNESS PC – NPI #1306276035
Clinic/Center

LAKESIDE WELLNESS PC is an AHC clinic located in SOMERS, MT. NPPES has assigned the NPI number 1306276035 to LAKESIDE WELLNESS PC on November 15, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE WELLNESS PC below.

NPI Profile for
LAKESIDE WELLNESS PC

NPI Number
1306276035
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE WELLNESS PC
Primary location
77 DEER CR RD
SUITE B
SOMERS, MT 59932
Phone: (406) 755-3751 Fax:
Mailing address
PO BOX 848
LAKESIDE, MT 59922-0848
Phone: (406) 755-3751 Fax:
Organization Subpart
No
Authorized Official
JILL RIPLEY
OWNER
Phone: (406) 755-3751
Updated
Identifiers

Identifiers for LAKESIDE WELLNESS PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAMR2009517
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
MT 10172

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.