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GREAT FALLS CLINIC SURGERY CENTER LLC
NPI 1447251327
Clinic/Center - Ambulatory Surgical in Great Falls, MT

Active since August 02, 2005CLIA 27D1012802 · Waiver
1509 29TH ST S, GREAT FALLS, MT 59405(406) 771-3500(406) 771-3501 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Falls Clinic Surgery Center Llc NPPES

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

GREAT FALLS CLINIC SURGERY CENTER LLC (NPI 1447251327) is a healthcare organization registered as an ambulatory surgical in Great Falls, Montana and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Cheryl D Cornwell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1447251327
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREAT FALLS CLINIC SURGERY CENTER LLC
Location Address1509 29TH ST SGreat Falls, MT 59405-5363
Mailing Address1509 29th St SGreat Falls, MT 59405-5363 · (406) 771-3500 · Fax (406) 771-3502
Phone(406) 771-3500
Fax(406) 771-3501
Organization SubpartNo
Authorized OfficialCheryl D CornwellChief Financial Officer · (406) 216-8057
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 20, 2011
✔ NPI 1447251327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MT · 9722
1509 29TH ST S, Great Falls, MT 59405
Open in Google Maps ↗

Other Identifiers 4

Other27C0001016Cms (formerly Hcfa)
Medicare ID-Type Unspecified000005703MT
Medicaid0350829MT
Medicare OSCAR/certificationM000005703MT

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 of Waiver 27D1012802

Great Falls Clinic Surgery Center · Great Falls, MT
Active · expires May 20, 2027
CLIA Number27D1012802
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorDr. David R. Engbrecht
Laboratory Phone(406) 771-3500
Laboratory LocationGreat Falls Clinic Surgery Center1509 29th Street South, Great Falls, MT 59405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD W WILLEY CRNA
Nurse Anesthetist, Certified Registered
1509 29TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 771-3500
WAYNE A GERARD MD
Anesthesiology
1509 29TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 771-3500

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 Great Falls Clinic Surgery Center LLC's NPI number?

The NPI number for Great Falls Clinic Surgery Center LLC is 1447251327. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Great Falls Clinic Surgery Center LLC located?

Great Falls Clinic Surgery Center LLC is located at 1509 29th St S, Great Falls, MT 59405. The listed phone number is (406) 771-3500.

What is Great Falls Clinic Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Great Falls Clinic Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D1012802) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Falls Clinic Surgery Center LLC was last updated on July 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.