MEDICARE: MR. PATRICK J GRIMM PA-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	363A00000X	Physician Assistant	468	MT
2	363AM0700X	Medical Physician Assistant	468	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154318574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK J GRIMM PA-C

Provider Business Mailing Address
First Line	:	1224 W MAIN ST
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2338
Country	:	US
Telephone Number	:	406-375-4823
Fax Number	:	406-375-4846

Provider Business Practice Location Address
First Line	:	1200 WESTWOOD DR
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2345
Country	:	US
Telephone Number	:	406-363-0597
Fax Number	:	406-375-4858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	11/05/2015

Similar Medicare Providers

1215896857 — JETHRO MCCONNELL DPT
Practice Location Address:

1200 WESTWOOD DR
HAMILTON, MT
59840-2345

Practice Phone: 406-375-4570
Practice Fax:

1851978274 — TREVE MICHAEL ICENOGGLE MD
Practice Location Address:

1200 WESTWOOD DR STE I
HAMILTON, MT
59840-2345

Practice Phone: 406-363-1100
Practice Fax: 406-375-4884

1306842489 — TIMOTHY WAYNE WOODS M.D.
Practice Location Address:

1200 WESTWOOD DR STE H
HAMILTON, MT
59840-2345

Practice Phone: 406-375-4868
Practice Fax: 406-375-4655

1114926102 — ALLEN W JONES JR. M.D.
Practice Location Address:

1200 WESTWOOD DR
HAMILTON, MT
59840-2345

Practice Phone: 406-363-5101
Practice Fax: 406-363-7652

1861477093 — LAWRENCE A HAMMOND M.D.
Practice Location Address:

1200 WESTWOOD DR
HAMILTON, MT
59840-2345

Practice Phone: 406-363-5101
Practice Fax: 406-363-7652

1891772174 — ROBERT W SMITH M.D.
Practice Location Address:

1200 WESTWOOD DR STE I
HAMILTON, MT
59840-2345

Practice Phone: 406-363-1100
Practice Fax: 406-375-4884

Directions to “ MR. PATRICK J GRIMM PA-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.