Organization Active NPI

Sanders County Council on Aging

  • Nutritionist
  • Hot Springs, MT
National Provider Identifier
1205042355
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
SANDERS COUNTY COUNCIL ON AGING
Practice address
109 Wall St
Suite 3
Hot Springs, MT 59845-0339
Phone
(406) 741-2343
Fax
(406) 741-2349
NPI assigned
May 15, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Gwen Marie Hanson
Title
Director
Phone
(406) 741-2343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

109 Wall St
Suite 3
Hot Springs, MT 59845-0339

Mailing address

PO Box 339
Hot Springs, MT 59845-0339
Phone (406) 741-2343

Other identifiers 1

IdentifierTypeStateIssuer
810101MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1205042355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "HOT SPRINGS",
            "state": "MT",
            "postal_code": "598450339",
            "telephone_number": "406-741-2343",
            "fax_number": "406-741-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WALL ST",
            "address_2": "SUITE 3",
            "city": "HOT SPRINGS",
            "state": "MT",
            "postal_code": "598450339",
            "telephone_number": "406-741-2343",
            "fax_number": "406-741-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-741-2343"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810101",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.