NPIMap

Organization Active NPI

Northeast Montana Health Services, Inc.

Doing business as Poplar Community CAH

  • Critical Access Hospital
  • Poplar, MT
National Provider Identifier
1396766903
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
NORTHEAST MONTANA HEALTH SERVICES, INC.
Doing business as
Poplar Community CAH
Practice address
211 H. St. East
Poplar, MT 59255-0038
Phone
(406) 768-6100
Fax
(406) 768-6160
NPI assigned
Jul 21, 2006
Reactivated
Jun 11, 2018
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Roger Fisher
Title
Ceo
Phone
(406) 478-6071

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X NU Primary
Ambulance 341600000X NU

Addresses

Primary practice location

211 H. St. East
Poplar, MT 59255-0038

Mailing address

211 H St
Poplar, MT 59255-9519
Phone (406) 768-6100

Other identifiers 4

IdentifierTypeStateIssuer
0442364MedicaidMT
0220235MedicaidMT
3100188MedicaidMT
4100485MedicaidMT

Other names 1

  • Poplar Community CAH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000677 MT Part A Provider - Critical Access Hospital 6305754318 Receives reassigned benefits from 17 practitioners
Practice locations: Poplar, MT
O20071001000229 MT Part A Provider - Critical Access Hospital 6305754318 Practice locations: Poplar, MT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1396766903. Details of each certification follow.

Hospital certification: CCN 271300

Legal name
NORTHEAST MONTANA HEALTH SERVICES INC
Doing business as
POPLAR COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 9, 1999
Last certification
May 9, 2024
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 14, 1948 in MT
Enrollment address
211 H St
Poplar, MT 59255-9519

Hospital certification: CCN 27Z300

Legal name
NORTHEAST MONTANA HEALTH SERVICES INC
Doing business as
POPLAR COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 14, 1948 in MT
Enrollment address
211 H St
Poplar, MT 59255-9519
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Poplar Community HospitalCCN 271300 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0652481Poplar Community Hospital Nemhs211 H Street, Poplar, MT 59255ComplianceOct 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
L J Hakala M D4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • Direct secure messaging: dmcintyre@nemhs.cernerdirect.com
  • Direct secure messaging: mzilkoski@nemhs.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shane Gibson Individual Corporate DirectorBoard Member Jun 3, 2011
Roger D Fisher Individual Corporate OfficerCoo Jul 2, 2017
W-2 Managing EmployeeAd; Jul 2, 2017
Tiffany Smith Individual Corporate OfficerAdministrative Assistant Feb 5, 2024
W-2 Managing EmployeeAdministrative Assistant Feb 5, 2024
Debra J McGowan Individual Corporate DirectorBoard Member Jul 1, 2019
Victoria Matejovsky Individual Corporate DirectorBoard Member Jul 1, 2019
Dallas O'Connor Individual Corporate DirectorBoard Member Jul 1, 2020
Corporate DirectorBoard Member Jun 3, 2011
Steven Hackley Individual Corporate DirectorBoard Member Jul 1, 2020
Corporate DirectorBoard Member Feb 1, 2016
Daniel Moudree Individual Corporate DirectorBoard Member Jul 1, 2020
Corporate DirectorBoard Member Jul 1, 2019

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity HospitalWolf Point, MT, CCN 271341 Hospital Operational/Managerial Control Jul 1, 1996
Trinity Swing BedWolf Point, MT, CCN 27Z341 Hospital Operational/Managerial Control Jul 1, 1996
Listeruds Rural Health ClinicWolf Point, MT, CCN 273992 Rural health clinic Operational/Managerial Control Jul 1, 1996

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1396766903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 H ST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592559519",
            "telephone_number": "406-768-6100",
            "fax_number": "406-768-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 H. ST. EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550038",
            "telephone_number": "406-768-6100",
            "fax_number": "406-768-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MONTANA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "deactivation_date": "2018-05-16",
        "reactivation_date": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-478-6071"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442364",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220235",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100188",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100485",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Community CAH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poplar Community CAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar, MT

Sources for this page

Verify at the official NPI Registry.