HUCKLEBERRY HEALTHCARE INC
NPI 1710221296
Nurse Practitioner - Family in Great Falls, MT

NPI Status: Active since November 21, 2012

Contact Information

2517 7TH AVE S
B-3
GREAT FALLS, MT
ZIP 59405
Phone: (406) 315-3503
Fax: (406) 315-3505

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • CLIA Number: 27D2050036
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 11-18-2026

About HUCKLEBERRY HEALTHCARE INC

This page provides the complete NPI Profile along with additional information for Huckleberry Healthcare Inc, a provider established in Great Falls, Montana operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710221296 assigned on November 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 019237 (MT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Denise G Gresham Fnp (Owner)

NPI
1710221296
Provider Name
HUCKLEBERRY HEALTHCARE INC
Entity Type
Organization
Location Address
2517 7TH AVE S B-3 GREAT FALLS, MT 59405
Location Phone
(406) 315-3503
Location Fax
(406) 315-3505
Mailing Address
PO BOX 6191 GREAT FALLS, MT 59406
Mailing Phone
(406) 315-3503
Mailing Fax
(406) 315-3505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2012
Last Update Date
11-26-2012
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A nurse practitioner (NP) like Huckleberry Healthcare Inc 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.

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
019237
License State
MT

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • 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

*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

DENISE G GRESHAM FNP

Authorized Official Title
OWNER
Authorized Official Phone
(406) 315-3503

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
27D2050036
Facility Type
Practitioner Other
Certificate Effective Date
November 19, 2024
Certificate Expiration Date
November 18, 2026
Laboratory Director
MS. DENISE G. GRESHAM
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Huckleberry Healthcare Inc 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 1710221296, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 1 → 2 2 → 4 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 4 + 2 + 2 + 2 + 1 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1710221296.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
2517 7TH AVE S, SUITE A-1
GREAT FALLS, MT 59405
Physical Therapist
2517 7TH AVE S, SUITE A1
GREAT FALLS, MT 59405
Physical Therapist
2517 7TH AVE S, SUITE A-1
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
2517 7TH AVE S, B-3
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
2517 7TH AVE S, B-3
GREAT FALLS, MT 59405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710221296, enumerated as an "organization" on November 21, 2012.

The provider is located at 2517 7TH AVE S B-3 GREAT FALLS, MT 59405 and the phone number is (406) 315-3503.

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

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