NPIMap

Organization Active NPI

Indian Health Service

  • Sonography Radiologic Technologist
  • Hardin, MT
National Provider Identifier
1033313879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
108936 Issued in MT
Legal business name
INDIAN HEALTH SERVICE
Practice address
1030 Blue Sage CT
Hardin, MT 59034-2257
Phone
(406) 477-4493
NPI assigned
Jun 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tommy Melkus, RDMS, RT,R, CT.
Title
Diagnostic Sonographer Radiographer
Phone
(406) 477-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 108936 MT Primary

Addresses

Primary practice location

1030 Blue Sage CT
Hardin, MT 59034-2257

Mailing address

100 Cheyenne
Lame Deer, MT 59043

National Provider Directory

National Provider Directory
Tax ID family
Crow Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033313879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHEYENNE",
            "city": "LAME DEER",
            "state": "MT",
            "postal_code": "59043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BLUE SAGE CT",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590342257",
            "telephone_number": "406-477-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELKUS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "DIAGNOSTIC SONOGRAPHER RADIOGRAPHER",
        "authorized_official_telephone_number": "406-477-4493",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS, RT,R, CT."
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MT",
            "license": "108936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardin, 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.

Verify at the official NPI Registry.