NPIMap

Organization Active NPI

U S Health Dept of Health & Human Services

Doing business as Eagle Child Health Center

  • Critical Access Hospital Clinic/Center
  • Hays, MT
National Provider Identifier
1174660245
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
U S HEALTH DEPT OF HEALTH & HUMAN SERVICES
Doing business as
Eagle Child Health Center
Practice address
453 Pine Grove Road
Hays, MT 59527-0620
Phone
(406) 673-3777
NPI assigned
Jan 30, 2007
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Steve Fox
Title
Ceo
Phone
(406) 353-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

453 Pine Grove Road
Hays, MT 59527-0620

Mailing address

123 Whitecow Canyon Rd
Hays, MT 59527-0620
Phone (406) 673-3777

Other names 1

  • EAGLE CHILD HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000399 TX Part B Supplier - Clinic/Group Practice 9638081623 Receives reassigned benefits from 337 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harlem, MT; Wolf Point, MT; Pryor, MT; Poplar, MT; Lodge Grass, MT; Lame Deer, MT; Heart Butte, MT; Fort Washakie, WY…
O20080813000725 MT Part A Provider - Critical Access Hospital 9638081623 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harlem, MT; Hays, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174660245. Details of each certification follow.

Hospital certification: CCN 271315

Legal name
U S HEALTH DEPT OF HEALTH & HUMAN SERVICES
Doing business as
FORT BELKNAP HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 3, 1999
Last certification
Nov 2, 2005
Beds
6
Ownership / control type
Federal
Organization structure
OtherNon-profit
Enrollment address
669 Agency Main St
Harlem, MT 59526-9455
Other Hospital Practice Location

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
P H S Indian Hospital-Ft Belknap at Harlem - CahCCN 271315 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jessica Windyboy Individual Corporate OfficerCeo Feb 18, 2020
Billie Jo Brown Individual W-2 Managing EmployeeCeo Mar 24, 2024
Operational/Managerial ControlCeo Mar 24, 2024
Thomas Champagne Individual Corporate DirectorCeo Feb 18, 2020
W-2 Managing EmployeeCac Feb 18, 2020
U S Health Dept of Health & Human Services Organization, Harlem, MT Non-profit Operational/Managerial Control Dec 1, 2013 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1174660245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WHITECOW CANYON RD",
            "city": "HAYS",
            "state": "MT",
            "postal_code": "595270620",
            "telephone_number": "406-673-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 PINE GROVE ROAD",
            "city": "HAYS",
            "state": "MT",
            "postal_code": "595270620",
            "telephone_number": "406-673-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U S HEALTH DEPT OF HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-353-3191"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE CHILD HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hays, MT

Sources for this page

Verify at the official NPI Registry.