Indian Health Service

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

RN17958 Issued in MT

Legal business name

INDIAN HEALTH SERVICE

Practice address

10110 South 7650 East
Crow Agency, MT 59022

Phone

(406) 638-3500

Fax

(406) 638-3569

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Yvonne L. Misiaszek

Title

Ceo

Phone

(406) 638-3468

Specialties & licenses 1

Addresses

Other names 1

• Crow Service Unit Other name

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

CLIA laboratory certificates

Tax ID family

McDonald Army Health Care Center200 organizations share this tax ID, including this one

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1144523481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3500",
            "fax_number": "406-638-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SOUTH 7650 EAST",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3500",
            "fax_number": "406-638-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "MISIASZEK",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-638-3468"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "RN17958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crow Service Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracie Hazelett
• Jenna Marie Helm
• Tina Hendricks, RN
• Gwendolyn Irene Heser
• Anna Marie Horseman, RN
• Wesley Johnson
• Angela Johnston Schindler
• Candace Dixon Jones, CPP
• Susan A Jordan, REGISTERED DIETITION
• Jill C Kehler, RN

• Clinic/Center in Crow Agency, MT
• Providers in Crow Agency, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.