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

Active since September 20, 2006
77 DEER CREEK ROAD, SOMERS, MT 59932(406) 857-2997 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lakeside Family Health Center NPPES

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

LAKESIDE FAMILY HEALTH CENTER (NPI 1699872010) is a healthcare organization registered as a family in Somers, Montana and active in the NPI registry since September 2006. The organization lists Suzanne C Gullotta, Owner, as its authorized official.

NPPES Registry Identity

NPI1699872010
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSUZANNE C GULLOTTA
Location Address77 DEER CREEK ROADSomers, MT 59932
Mailing AddressPo Box 649Lakeside, MT 59922-0649 · (406) 857-2997
Organization SubpartNo
Authorized OfficialSuzanne C GullottaOwner · (406) 857-2997
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 18, 2008
NPI 1699872010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MT · 020838
77 DEER CREEK ROAD, Somers, MT 59932

Other Names 1

Doing Business AsLakeside Family Health Center

Other Identifiers 4

Medicare UPINS36092MT
Other037108MT · Bcbs
Medicaid0434707MT
Medicare PIN000084234MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Suzanne C Gullotta's NPI number?

The NPI number for Suzanne C Gullotta is 1699872010. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Lakeside Family Health Center.

Where is Suzanne C Gullotta located?

Suzanne C Gullotta is located at 77 Deer Creek Road, Somers, MT 59932. The listed phone number is (406) 857-2997.

What is Suzanne C Gullotta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Suzanne C Gullotta was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.