MCCONE CLINIC - NPI 1740464916 - Physician Assistant in Circle, MT

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Mccone Clinic NPPES

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

MCCONE CLINIC (NPI 1740464916) is a healthcare organization registered as a medical in Circle, Montana and active in the NPI registry since December 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 13, 2027 and lists Jacque L Gardner, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1740464916

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameMCCONE COUNTY HEALTH CENTER INC

Location Address605 SULLIVAN AVECircle, MT 59215-0278

Mailing AddressPo Box 278Circle, MT 59215-0278 · (406) 485-2063

Phone(406) 485-2063

Fax(406) 485-2435

Organization SubpartNo

Authorized OfficialJacque L GardnerClinic Manager · (406) 485-2063

Enumeration DateDecember 24, 2007

Last NPPES UpdateJune 11, 2013

✔ NPI 1740464916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MT · 40

605 SULLIVAN AVE, Circle, MT 59215

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Other Names 1

Doing Business AsMccone Clinic

Other Identifiers 1

Medicare PIN81265MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

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 Compliance 27D0652475

Mccone County Health Center · Circle, MT

Active · expires Sep 13, 2027

CLIA Number27D0652475

Laboratory TypeHospital

Certificate Effective DateSeptember 14, 2025

Certificate Expiration DateSeptember 13, 2027

Laboratory DirectorKama R. Urton

Laboratory Phone(406) 485-2063

Laboratory LocationMccone County Health Center605 Sullivan Avenue, Circle, MT 59215

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

MRS. PATRICIA WITTKOPP PA-C

Physician Assistant (Medical)