Pondera County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PONDERA COUNTY

Doing business as

Pondera County Health Dept.

Practice address

311 S. Virginia Street
Suite 1
Conrad, MT 59425

Phone

(406) 271-3247

Fax

(406) 271-3248

NPI assigned

Dec 14, 2006

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia L Grubb, RN

Title

Public Health Director

Phone

(406) 271-3247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pondera County Health Dept. Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie A Baylor, RDH

  • Dental Hygienist
  • Everett, WA
  • NPI 1871022962
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1073675351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S. VIRGINIA STREET",
            "address_2": "SUITE 1",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "59425",
            "telephone_number": "406-271-3247",
            "fax_number": "406-271-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S. VIRGINIA STREET",
            "address_2": "SUITE 1",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "59425",
            "telephone_number": "406-271-3247",
            "fax_number": "406-271-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDERA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "406-271-3247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3503526",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pondera County Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My Hearing Centers, LLC
• Shawn Thomas Nesbo, MD
• North Central Area Agency on Aging
• Onyx Counseling & Consultation
• Jesse T Parks, RPH
• Pondera Medical Center
• Pondera Medical Center
• Pondera Medical Center (Pondera Medical Center Referral Clinic)
• Pondera Medical Center Eye Clinic PLLC
• Pondera Medical Center O

• Public Health or Welfare Agency in Conrad, MT
• Providers in Conrad, MT by specialty
• Public Health or Welfare Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.