PURE INFUSION SUITES OF MONTANA LLC – Multi-Specialty Clinic/Center, NPI 1588137228
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PURE INFUSION SUITES OF MONTANA LLC
4179 S RIVERBOAT RD STE 220
TAYLORSVILLE, UT 841232986
Phone: (801) 755-3387
Type: Mailing
222 S MAIN ST STE 500
SALT LAKE CITY, UT 841012275
Phone: (855) 550-3358
Type: Mailing
Brookshire Boulevard, West End, Billings, Yellowstone County, Montana, 59102, United States
BILLINGS, MT 591026751
Phone: (406) 702-1327
Type: Location
1400 29th St S Ste 218
Great Falls, MT 594055315
Phone: (406) 384-7002
Fax: (406) 794-0555
Type: Location
2600 Winne Ave Ste D
Helena, MT 596014900
Phone: (406) 206-6015
Fax: (406) 389-8940
Type: Location
2509 7th Ave S Ste D2
Great Falls, MT 594053031
Phone: (406) 702-1327
Type: Location
100 BROOKSHIRE BLVD UNIT 1
BILLINGS, MT 591026751
Phone: (406) 702-1327
Fax: (406) 206-0105
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (131 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190514003064 | O | Clinic/Group Practice | MT | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84123)
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