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

Active since February 06, 2006CLIA 27D0411314 · Microscopy
211 E 2ND ST, LIBBY, MT 59923(406) 293-8711(406) 293-8735 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Libby Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBBY CLINIC (NPI 1306818034) is a healthcare organization registered as a rural health in Libby, Montana and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through June 24, 2028 and lists Myresa C Boulware, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306818034
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIBBY CLINIC
Location Address211 E 2ND STLibby, MT 59923
Mailing Address211 E 2nd StLibby, MT 59923-2047 · (406) 293-8711 · Fax (406) 293-8735
Fax(406) 293-8735
Organization SubpartNo
Authorized OfficialMyresa C BoulwareOffice Manager · (406) 293-8711
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1306818034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
211 E 2ND ST, Libby, MT 59923

Other Identifiers 3

Medicaid0730431MT
Medicare OSCAR/certification273826MT
OtherCO1378MT · Railroad Medicare Number

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)

Libby Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Libby Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1629947494
211 E 2ND ST
Libby, MT 59923
(406) 293-8711
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477529998
211 E 2ND ST
Libby, MT 59923
(406) 293-8711
✔ PECOSSame address
Nurse Practitioner
NPI 1376112961
211 E 2ND ST
Libby, MT 59923
(406) 293-8711
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790448090
209 HEALTH PARK DR
Libby, MT 59923
(406) 283-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1629044276
211 E 2ND STREET
Libby, MT 59923
(406) 293-8711
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1558735688
211 E 2ND ST
Libby, MT 59923
(406) 293-8711
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1972738532
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare90 mi
Family Practice
NPI 1144665316
744 N MARINE CORPS DR STE 121
Tamuning, GU 96913
(671) 588-2394
✔ PECOS✔ Accepts Medicare

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) 27D0411314

Libby Clinic Pllp · Libby, MT
Active · expires Jun 24, 2028
CLIA Number27D0411314
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorDr. Glenne Gunther
Laboratory Phone(406) 293-8711
Laboratory LocationLibby Clinic Pllp211 E 2nd St, Libby, MT 59923
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Libby Clinic's NPI number?

The NPI number for Libby Clinic is 1306818034. It was assigned to this organization in the NPPES registry on February 6, 2006.

Where is Libby Clinic located?

Libby Clinic is located at 211 E 2nd St, Libby, MT 59923. The listed phone number is (406) 293-8711.

What is Libby Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Libby Clinic enrolled in Medicare?

Yes. Libby Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Libby Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Libby 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. The largest specialties are Family Practice (4) and Nurse Practitioner (4). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Libby Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D0411314) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Libby Clinic accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Libby 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 Libby Clinic was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.