Organization Active NPI

County of Garfield

  • Licensed Practical Nurse
  • Jordan, MT
National Provider Identifier
1073790598
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
RN9768 Issued in MT
Legal business name
COUNTY OF GARFIELD
Practice address
332 Leavitt Ave
Jordan, MT 59337
Phone
(406) 557-2050
Fax
(406) 557-2055
NPI assigned
Jan 28, 2008
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mega McDonald
Title
County Health Nurse
Phone
(406) 557-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X RN9768 MT Primary

Addresses

Primary practice location

332 Leavitt Ave
Jordan, MT 59337

Mailing address

PO Box 389
332 Leavitt Ave Health Dept
Jordan, MT 59337
Phone (406) 557-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001047 MT Part B Supplier - Mass Immunization (Roster Biller Only) 8325178551 Practice locations: Jordan, MT

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
County of Garfield2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Garfield County Health CenterJordan, MT, CCN 270779 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 5, 2026
Jan 5, 2026
Garfield County ClinicJordan, MT, CCN 273434 Rural health clinic Operational/Managerial Control (100%) Aug 26, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1073790598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "address_2": "332 LEAVITT AVE HEALTH DEPT",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "59337",
            "telephone_number": "406-557-2050",
            "fax_number": "406-557-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LEAVITT AVE",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "59337",
            "telephone_number": "406-557-2050",
            "fax_number": "406-557-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GARFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MEGA",
        "authorized_official_title_or_position": "COUNTY HEALTH NURSE",
        "authorized_official_telephone_number": "406-557-2050"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MT",
            "license": "RN9768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jordan, MT

Sources for this page

Verify at the official NPI Registry.