Helena Indian Alliance Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Helena, MT
NPI 1497964290 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1497964290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HELENA INDIAN ALLIANCE INC
- Practice address
- 501 Euclid Ave
Helena, MT 59601-2865 - Phone
- (406) 442-9244
- Fax
- (406) 449-5371
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Todd J Wilson
- Title
- Executive Director
- Phone
- (406) 442-9244
Practitioners 15
-
Melanie Funke, CNP
-
Annie Maria Rottenbiller, LCSW, LAC
-
Lexi Wagner, LCPC
-
Marcetta M Lay, LAC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0883112 | Helena Indian Alliance | Provider-performed microscopy | Sep 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Federally qualified health center certification: CCN 271804
- Legal name
- HELENA INDIAN ALLIANCE INC
- Doing business as
- LEO POCHA CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 1, 1991
- Last certification
- Nov 1, 1991
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 20, 1969 in MT
- Enrollment address
- 501 Euclid Ave
Helena, MT 59601-2865
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Jason Smith |
Other | Jan 1, 2017 | |
| Michael Touchette |
Other | Jan 1, 2017 | |
| William Felton |
Other | Jan 1, 2017 | |
| Roger Renville |
Other | Jan 1, 2017 | |
| Helena Indian Alliance Inc |
Operational/Managerial Control | Jan 1, 1990 | |
| Todd Jody Wilson |
Corporate Director |
Jun 1, 2017 | |
| Kevin Sandoval |
W-2 Managing Employee |
May 1, 2017 | |
| Carol McMaster |
Other | Jan 1, 2017 | |
| Duran Caferro |
Other | Jan 1, 2017 | |
| Roberta Warren |
Other | Jan 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091123000665 | MT | Part a Provider - Federally Qualified Health Center (FQHC) | 4486793940 | Practice locations: Helena, MT |
| O20140325000024 | MT | Part B Supplier - Clinic/Group Practice | 4486793940 |
Receives reassigned benefits from 11 practitioners Practice locations: Helena, MT |
National Provider Directory
Locations
501 Euclid Ave
Helena, MT 59601
Phone (406) 442-9244
435 N Last Chance Gulch
Helena, MT 59601
Phone (406) 449-5796
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGAGDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MT | Yes | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
501 Euclid Ave
Helena, MT 59601-2865
Mailing address
501 Euclid Ave
Helena, MT 59601-2865
Phone (406) 442-9244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000224250 | Medicaid | MT | |
| 0730067 | Medicaid | MT |
Other providers in Helena, MT
- Helena Foot Specialists LLC
- Helena Home Health
- Helena Hope & Healing Inc
- Helena Housecalls: in Home Medical Care
- Helena Imaging, LLC
- Helena Industries, Inc.
- Helena Laboratory Physicians
- Helena Laboratory Physicians
- Helena Medical Laboratory, Inc
- Helena Medical Specialists
All providers in Helena, MT · Federally Qualified Health Center (FQHC) in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.