WHITEHALL MEDICAL CLINIC
NPI 1124013719
Family Medicine in Whitehall, MT
About Whitehall Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITEHALL MEDICAL CLINIC (NPI 1124013719) is a healthcare organization registered as a family medicine in Whitehall, Montana and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Gayle Faye Sacry, General Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whitehall Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Whitehall Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 27D0410762
Whitehall Medical Clinic · Whitehall, MTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Whitehall Medical Clinic's NPI number?
The NPI number for Whitehall Medical Clinic is 1124013719. It was assigned to this organization in the NPPES registry on September 20, 2005.
Where is Whitehall Medical Clinic located?
Whitehall Medical Clinic is located at 108 W 1st St, Whitehall, MT 59759. The listed phone number is (406) 287-3003.
What is Whitehall Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Whitehall Medical Clinic enrolled in Medicare?
Yes. Whitehall Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Whitehall Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Whitehall Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Whitehall Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D0410762) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Whitehall Medical Clinic accept?
Health plans from Blue Cross and Blue Shield of Montana list Whitehall Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Whitehall Medical Clinic was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Whitehall Medical Clinic · NPI 1124013719
Family Medicine organization in Whitehall, Montana. Organization record, active in the CMS NPPES registry since September 20, 2005.
## Identity
- **NPI:** 1124013719 (Entity type: Organization)
- **Enumerated:** September 20, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gayle Sacry, GENERAL PARTNER
## Practice location
- **Address:** 108 W 1ST ST, Whitehall, MT 59759-0339
- **Phone:** (406) 287-3003 · **Fax:** (406) 287-3014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2019
- **Other identifiers:** Other 184739200 (MT); Other 27D0410762 (MT); Medicaid 9989993 (MT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124013719) · Data from the CMS NPPES public registry.