Active NPI
Sidney Health Center
- In Home Supportive Care Agency
- Sidney, MT
National Provider Identifier
1265493142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SIDNEY HEALTH CENTER
- Practice address
- 216 14TH Ave SW
Sidney, MT 59270-3519 - Phone
- (406) 488-2100
- NPI assigned
- Mar 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Montgomery
- Title
- Senior Executive, Finance/Cfo
- Phone
- (406) 488-2117
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 10085 | MT | |
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
216 14TH Ave SW
Sidney, MT 59270-3519
Mailing address
216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2138
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470356 | Medicaid | MT | |
| 740324 | Medicaid | MT |
Other names 1
- Community Memorial Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1265493142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 14TH AVE SW",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703519",
"telephone_number": "406-488-2138",
"fax_number": "406-488-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 14TH AVE SW",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703519",
"telephone_number": "406-488-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDNEY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-30",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "SENIOR EXECUTIVE, FINANCE/CFO",
"authorized_official_telephone_number": "406-488-2117"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MT",
"license": "10085",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470356",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "740324",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Memorial Hospital",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Community Memorial Hospital",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sidney, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.