Organization Active NPI

County of Sheridan

Doing business as Sheridan County Public Health Dept

  • Public Health or Welfare Agency
  • Plentywood, MT
National Provider Identifier
1013083930
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7753428MedicaidMT
0350863MedicaidMT

Other names 1

  • Sheridan County Public Health Dept Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000980 MT Part B Supplier - Public Health/Welfare Agency 9739120569 Practice locations: Plentywood, MT

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.