Makoshika Wellness Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAKOSHIKA WELLNESS INC

Doing business as

Makoshika Wellness

Practice address

107 W Bell St
Glendive, MT 59330-1614

Phone

(406) 359-1395

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Plummer

Title

Executive Director

Phone

(208) 699-8989

Specialties & licenses 1

Addresses

Other names 1

• Makoshika Wellness Doing business as

Locations

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1316629264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593300311",
            "telephone_number": "406-359-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BELL ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301614",
            "telephone_number": "406-359-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKOSHIKA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-699-8989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makoshika Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lead Changes Recovery & Equine Therapy Center LLC
• Joe Leal, M.D.
• Debra Linn, M.S., CCC-SLP
• Julie Ann Linsenmeyer, CNP
• Kristi N Maddock, MS, OT
• Aaron Michael Maus, MD
• Kay McDonough-Jensen
• Rose M McNamara, SWLC
• Kevin Robert McPherson, DDS
• Christina Miller, LCPC, LMHC

• Clinic/Center in Glendive, MT
• Providers in Glendive, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.