Organization Active NPI

Prickly Pear Special Services Cooperative

  • Local Education Agency (LEA)
  • East Helena, MT
National Provider Identifier
1063543486
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PRICKLY PEAR SPECIAL SERVICES COOPERATIVE
Practice address
226 Clinton Street
East Helena, MT 59365
Phone
(406) 227-7322
NPI assigned
Mar 8, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Vaughn Kauffman
Title
Director
Phone
(406) 227-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

226 Clinton Street
East Helena, MT 59365

Mailing address

PO Box 1280
East Helena, MT 59635-1280

Other identifiers 2

IdentifierTypeStateIssuer
380419MedicaidMT
160537MedicaidMT

National Provider Directory

National Provider Directory

Locations

2525 Lake Helena Dr
East Helena, MT 59635

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1063543486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596351280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CLINTON STREET",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "59365",
            "telephone_number": "406-227-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICKLY PEAR SPECIAL SERVICES COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-227-7322"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380419",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160537",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.