Organization Active NPI

Area X Agency on Aging

  • Case Management Agency
  • Havre, MT
National Provider Identifier
1407069545
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AREA X AGENCY ON AGING
Practice address
2 2ND St W
Havre, MT 59501-3434
Phone
(406) 265-5464
Fax
(406) 265-3611
NPI assigned
May 7, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Connie Louise Lasalle, RN
Title
Director of in Home Health
Phone
(406) 265-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MT Primary

Addresses

Primary practice location

2 2ND St W
Havre, MT 59501-3434

Mailing address

2 2ND St W
Havre, MT 59501-3434
Phone (406) 265-5464

Other identifiers 1

IdentifierTypeStateIssuer
0830008MedicaidMT

National Provider Directory

National Provider Directory

Locations

2 2nd St W
Havre, MT 59501
Phone (406) 265-5464

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1407069545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 2ND ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013434",
            "telephone_number": "406-265-5464",
            "fax_number": "406-265-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 2ND ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013434",
            "telephone_number": "406-265-5464",
            "fax_number": "406-265-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA X AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR OF IN HOME HEALTH",
        "authorized_official_telephone_number": "406-265-5464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830008",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.