Active NPI
Area X Agency on Aging
- Case Management Agency
- Havre, MT
National Provider Identifier
1407069545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2008
- 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
- Mrs. Connie Louise Lasalle, RN
- Title
- Director of in Home Health
- Phone
- (406) 265-5464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0830008 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
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.