NPIMap

Organization Active NPI

Indian Health Service

  • Clinic/Center
  • Saint Xavier, MT
National Provider Identifier
1033527668
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NUR-RN-LIC-44821 Issued in MT
Legal business name
INDIAN HEALTH SERVICE
Practice address
121 Mission Avenue
Saint Xavier, MT 59075-0114
Phone
(406) 579-4054
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Sara Lynn Running Crane, RN
Title
Registered Nurse
Phone
(406) 579-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NUR-RN-LIC-44821 MT Primary

Addresses

Primary practice location

121 Mission Avenue
Saint Xavier, MT 59075-0114

Mailing address

PO Box 114
Saint Xavier, MT 59075-0114
Phone (406) 579-4054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1033527668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "SAINT XAVIER",
            "state": "MT",
            "postal_code": "590750114",
            "telephone_number": "406-579-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MISSION AVENUE",
            "city": "SAINT XAVIER",
            "state": "MT",
            "postal_code": "590750114",
            "telephone_number": "406-579-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "RUNNING CRANE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "406-579-4054",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "NUR-RN-LIC-44821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.