Liberty County – Public Health or Welfare Agency

Key facts

NPI: 1073644902
Entity type: Organization (NPI type 2)
Primary specialty: Public Health or Welfare Agency 251K00000X
Legal business name: LIBERTY COUNTY
Practice address: 618 East Adams
Chester, MT 59522-0459
Phone: (406) 759-8256
Fax: (406) 759-5923
NPI assigned: Mar 9, 2007
Organization subpart: Yes
Parent organization (as reported): LIBERTY COUNTY

Authorized official

Name: Mrs. Melissa Marie Kantorowicz, RN
Title: Manager of Liberty County Public He
Phone: (406) 759-8256

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Liberty County Land Ambulance · Chester, MT · NPI 1598939282

NPPES parent name

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Liberty County Land Ambulance · Chester, MT · NPI 1598939282

Same PAC ID 4183510647

Corporate family (same tax ID) 1

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

Liberty County Land Ambulance · Chester, MT · NPI 1598939282

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Karla Jean Kulpas, RN Registered Nurse · Chester, MT · NPI 1154873875

NPD (past) REGISTERED NURSE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20161031002222	MT	Part B Supplier - Mass Immunization (Roster Biller Only)	4183510647	Practice locations: Chester, MT

National Provider Directory

Tax ID family: Liberty County Hospital (2 organizations share this tax ID)
Part of: Liberty County Hospital

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse Group: 193400000X SINGLE SPECIALTY GROUP	163W00000X
Public Health or Welfare Agency	251K00000X		MT	Yes

Addresses

Primary practice location

618 East Adams
Chester, MT 59522-0459

Mailing address

P.O. Box 459
Chester, MT 59522-0459
Phone (406) 759-8256

Other identifiers

Identifier	Type	State	Issuer
0350047	Other	MT	PIN
1073644902	Medicaid	MT

Other names

Liberty County Public Health Doing business as

Other providers in Chester, MT

All providers in Chester, MT · Public Health or Welfare Agency in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.