LIBBY CLINIC
NPI 1306818034
Clinic/Center - Rural Health in Libby, MT

NPI Status: Active since February 06, 2006

Contact Information

211 E 2ND ST
LIBBY, MT
ZIP 59923
Phone: (406) 293-8711
Fax: (406) 293-8735

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 27D0411314
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-24-2026

About LIBBY CLINIC

This page provides the complete NPI Profile along with additional information for Libby Clinic, a primary care provider established in Libby, Montana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1306818034 assigned on February 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Myresa C Boulware (Office Manager)

NPI
1306818034
Provider Name
LIBBY CLINIC
Entity Type
Organization
Location Address
211 E 2ND ST LIBBY, MT 59923
Location Phone
(406) 293-8711
Location Fax
(406) 293-8735
Mailing Address
211 E 2ND ST LIBBY, MT 59923
Mailing Phone
(406) 293-8711
Mailing Fax
(406) 293-8735
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2006
Last Update Date
05-18-2015
Code Navigator

A primary care provider (PCP) like Libby Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
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 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
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • PEAK PPO BRONZE - PPO
  • PEAK PPO BRONZE HDHP - PPO
  • PEAK PPO GOLD - PPO
  • PEAK PPO GOLD HDHP - PPO
  • PEAK PPO SILVER - PPO
  • PEAK PPO SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MYRESA C BOULWARE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(406) 293-8711

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0730431MEDICAID (05)MT 
273826MEDICARE OSCAR/CERTIFICATION (06)MT 
CO1378OTHER (01)MTRAILROAD MEDICARE NUMBER

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
27D0411314
Facility Type
Rural Health Clinic
Certificate Effective Date
June 25, 2024
Certificate Expiration Date
June 24, 2026
Laboratory Director
DR. GLENNE GUNTHER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Libby Clinic 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306818034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 6 + 1 + 1 + 6 + 0 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306818034.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923
Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923
Family Medicine
211 E 2ND ST
LIBBY, MT 59923
Clinic/Center (Federally Qualified Health Center (FQHC))
211 E 2ND ST
LIBBY, MT 59923
Physician Assistant
211 E 2ND ST
LIBBY, MT 59923
Clinic/Center (VA)
211 E 2ND ST
LIBBY, MT 59923
Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923
Physician Assistant
211 E 2ND ST
LIBBY, MT 59923
Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923
Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923
Physician Assistant
211 E 2ND ST
LIBBY, MT 59923
Nurse Practitioner (Family)
211 E 2ND ST
LIBBY, MT 59923

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306818034, enumerated as an "organization" on February 06, 2006.

The provider is located at 211 E 2ND ST LIBBY, MT 59923 and the phone number is (406) 293-8711.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.