US Health Dept of Health & Human Services
Organization Active NPI Rural Health Clinic/Center · Wolf Point, MT
NPI 1205927936 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1205927936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- US HEALTH DEPT OF HEALTH & HUMAN SERVICES
- Practice address
- 550 6TH Ave North
Wolf Point, MT 59201 - Phone
- (406) 653-1641
- Fax
- (406) 653-3728
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Majorie Spotted Bird
- Title
- Chief Executive Officer
- Phone
- (406) 768-3491
Other NPIs on the same Medicare enrollment 12
Practitioners 23
-
Peter J. Arosemena, M.D.
-
Rosaly Cartagena, PSYD, LND
-
Richard John Donlick Jr., D.O.
-
Jean Marie Ehrhardt, ARNP
-
Amy Marie Fleck, OD
-
John A Giglio, DO
-
Kate Hellenga, PH.D.
-
Erin Imeson, NP
-
Norman Kruedelbach, PHD
-
Ginger Martin, FNP
-
Anh Tuan Pham, O.D
-
Ashton Tyler Redstone, PA-C
-
Mary Ann Schneider, M.D.
-
Shawn Thurston, FNP-C
-
Darlene Marie Wilcox, PH.D., LP
-
Glenna S Thompson, RDH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0665334 | Chief Redstone Health Clinic Laboratory | Accreditation | Apr 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Taxi | 344600000X |
Addresses
Primary practice location
550 6TH Ave North
Wolf Point, MT 59201
Mailing address
PO Box 67
Poplar, MT 59255-0067
Phone (406) 768-3491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2210068 | Medicaid | MT | |
| 000009301 | Other | MT | BC/BS OF MONTANA |
Other names
- Chief Redstone Clinic
Other providers in Wolf Point, MT
- Margaret Mary Stahler
- Allison Blair Taranto
- Taylor D Spines Family Wellness Chiropractic PLLC
- Debra Lauree Tubbs
- Michael R Uphues
- Natalie Jean Van Houten
- Joy Hansen White
- Wolf Point Clinic Association Inc
- Wolf Point Health Center Pharmacy
- Wolf Point School District
All providers in Wolf Point, MT · Rural Health Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.