Active NPI
Garfield County Health Center, Inc.
- Land Ambulance
- Jordan, MT
National Provider Identifier
1013936947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 056
- Legal business name
- GARFIELD COUNTY HEALTH CENTER, INC.
- Practice address
- 332 Leavitt Ave
Jordan, MT 59337 - Phone
- (406) 557-2500
- Fax
- (406) 557-2950
- NPI assigned
- Jul 19, 2006
- 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
- Wanda A Hageman
- Title
- Administrator
- Phone
- (406) 557-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 056 | MT | Primary |
Addresses
Primary practice location
332 Leavitt Ave
Jordan, MT 59337
Mailing address
332 Leavitt Ave
Jordan, MT 59337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440487 | Medicaid | MT |
Other names 1
- GAS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jordan, MT
- NPI 1285251231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013936947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 LEAVITT AVE",
"city": "JORDAN",
"state": "MT",
"postal_code": "59337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 LEAVITT AVE",
"city": "JORDAN",
"state": "MT",
"postal_code": "59337",
"telephone_number": "406-557-2500",
"fax_number": "406-557-2950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARFIELD COUNTY HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAGEMAN",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "406-557-2500"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MT",
"license": "056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440487",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jordan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.