NPIMap

Organization Active NPI

PHS Indian Hospital

  • Critical Access Hospital
  • Crow Agency, MT
National Provider Identifier
1235302142
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
20957 Issued in MT
Legal business name
PHS INDIAN HOSPITAL
Practice address
10110 South 7650 East PHS
Crow Northern Cheyenne Indian
Crow Agency, MT 59022
Phone
(406) 638-3558
Fax
(406) 638-3482
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DHHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Erin Elaine Neibauer, MSNNPI 1760621544
Title
FNP
Phone
(406) 638-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 20957 MT Primary

Addresses

Primary practice location

10110 South 7650 East PHS
Crow Northern Cheyenne Indian
Crow Agency, MT 59022

Mailing address

10110 South 7650 East PHS
Crow Northern Cheyenne Indian
Crow Agency, MT 59022
Phone (406) 638-3558

National Provider Directory

National Provider Directory
Tax ID family
Centers for Disease Control and Prevention US Public Health Service10 organizations share this tax ID, including this one
Part of
Crow Hospital

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1235302142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SOUTH 7650 EAST PHS",
            "address_2": "CROW NORTHERN CHEYENNE INDIAN",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3558",
            "fax_number": "406-638-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SOUTH 7650 EAST PHS",
            "address_2": "CROW NORTHERN CHEYENNE INDIAN",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3558",
            "fax_number": "406-638-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS INDIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHHS",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "NEIBAUER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "406-638-3558",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "20957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crow Agency, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.