Moccasin Mountain Health Clinic, Inc
NPI 1053158766ActiveOrganization· General Practice· Lewistown, MT
General Practice in Lewistown, Montana, registered in NPPES in July 2024. The authorized official on file is Randi Rath, PA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053158766 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2024 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|