LAKESIDE FAMILY HEALTH CENTER
NPI 1699872010
Nurse Practitioner - Family in Somers, MT

NPI Status: Active since September 20, 2006

Contact Information

77 DEER CREEK ROAD
SOMERS, MT
ZIP 59932
Phone: (406) 857-2997

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  • Organization
  • Nurse Practitioner
  • Family

About LAKESIDE FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Lakeside Family Health Center, a provider established in Somers, Montana operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1699872010 assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 020838 (MT). The provider is registered as an organization and their NPI record was last updated 18 years ago. Lakeside Family Health Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lakeside Family Health Center. The authorized official of this NPI record is Mrs. Suzanne C Gullotta Np (Owner)

NPI
1699872010
Provider Legal Name
SUZANNE C GULLOTTA
Other Organization Name
LAKESIDE FAMILY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
77 DEER CREEK ROAD SOMERS, MT 59932
Location Phone
(406) 857-2997
Mailing Address
PO BOX 649 LAKESIDE, MT 59922
Mailing Phone
(406) 857-2997
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
01-18-2008
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A nurse practitioner (NP) like Lakeside Family Health Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
020838
License State
MT

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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

MRS. SUZANNE C GULLOTTA NP

Authorized Official Title
OWNER
Authorized Official Phone
(406) 857-2997

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
S36092MEDICARE UPIN (02)MT 
037108OTHER (01)MTBCBS
0434707MEDICAID (05)MT 
000084234MEDICARE PIN (08)MT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699872010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189167402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 7 + 4 + 0 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1699872010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699872010, enumerated as an "organization" on September 20, 2006.

The provider is located at 77 DEER CREEK ROAD SOMERS, MT 59932 and the phone number is (406) 857-2997.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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