Active NPI
County of Sheridan
Doing business as Sheridan County Public Health Dept
- Public Health or Welfare Agency
- Plentywood, MT
National Provider Identifier
1013083930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF SHERIDAN
- Doing business as
- Sheridan County Public Health Dept
- Practice address
- 100 W Laurel Ave
Plentywood, MT 59254-1647 - Phone
- (406) 765-3410
- Fax
- (406) 765-3495
- NPI assigned
- Nov 24, 2006
- Last updated
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Frances Jensen, RN
- Title
- Public Health Director
- Phone
- (406) 765-3410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | MT | Primary |
Addresses
Primary practice location
100 W Laurel Ave
Plentywood, MT 59254-1647
Mailing address
100 W Laurel Ave
Plentywood, MT 59254-1647
Phone (406) 765-3410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7753428 | Medicaid | MT | |
| 0350863 | Medicaid | MT |
Other names 1
- Sheridan County Public Health Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050520000980 | MT | Part B Supplier - Public Health/Welfare Agency | 9739120569 | Practice locations: Plentywood, MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Plentywood, MT
- NPI 1164467833
-
- Clinical Social Worker
- Plentywood, MT
- NPI 1831332899
-
- Addiction (Substance Use Disorder) Counselor
- Plentywood, MT
- NPI 1851426506
-
- Addiction (Substance Use Disorder) Counselor
- Plentywood, MT
- NPI 1154800647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1013083930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W LAUREL AVE",
"city": "PLENTYWOOD",
"state": "MT",
"postal_code": "592541647",
"telephone_number": "406-765-3410",
"fax_number": "406-765-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W LAUREL AVE",
"city": "PLENTYWOOD",
"state": "MT",
"postal_code": "592541647",
"telephone_number": "406-765-3410",
"fax_number": "406-765-3495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SHERIDAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "FRANCES",
"authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
"authorized_official_telephone_number": "406-765-3410",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7753428",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0350863",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sheridan County Public Health Dept",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plentywood, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.