MEDICARE: BACK AND NECK CLINIC OF GREAT FALLS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	941	MT

General Provider Information

NPI Number	:	1043496755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK AND NECK CLINIC OF GREAT FALLS, P.C.

Provider Business Mailing Address
First Line	:	205 9TH AVE S
Second Line	:	SUITE 105
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4071
Country	:	US
Telephone Number	:	406-771-8431
Fax Number	:	406-771-8432

Provider Business Practice Location Address
First Line	:	205 9TH AVE S
Second Line	:	SUITE 105
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4071
Country	:	US
Telephone Number	:	406-771-8431
Fax Number	:	406-771-8432

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEVIN CHARLES OTHEIM
Credential	:	D.C.
Telephone Number	:	406-771-8431

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	06/05/2024

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1609739382 — STEPHANIE FRANCIS ENGLEMAN LCPC
Practice Location Address:

205 9TH AVE S STE 104
GREAT FALLS, MT
59405-4071

Practice Phone: 406-213-9808
Practice Fax:

1841290921 — CANNON FALLS SNYDER PHCY INC
Practice Location Address:

31265 COUNTY 24 BLVD
CANNON FALLS, MN
55009-4071

Practice Phone: 507-263-4741
Practice Fax: 507-263-0740

1922930452 — ERIN M RIOTUTAR
Practice Location Address:

1809 2ND AVE S
GREAT FALLS, MT
59405-2702

Practice Phone: 406-231-8782
Practice Fax:

1225495831 — BENJAMIN ROSS MD
Practice Location Address:

1101 26TH ST S
GREAT FALLS, MT
59405-5161

Practice Phone: 406-455-5000
Practice Fax: 406-731-8318

1750223558 — VICTORIA MAGED MD
Practice Location Address:

2800 11TH AVE S STE 24
GREAT FALLS, MT
59405-5263

Practice Phone: 406-771-6300
Practice Fax:

Directions to “BACK AND NECK CLINIC OF GREAT FALLS, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.