NPIMap

Organization Active NPI

Little Shell Tribe of Chippewa Indians of Montana

  • Clinic/Center
  • Great Falls, MT
National Provider Identifier
1649970526
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA
Practice address
425 Smelter Ave NE
Great Falls, MT 59404-1927
Phone
(406) 760-2055
Fax
(406) 403-0276
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Authorized official

Name
Gerald Gray Jr.
Title
Chairman
Phone
(406) 315-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

425 Smelter Ave NE
Great Falls, MT 59404-1927

Mailing address

511 Central Ave W
Great Falls, MT 59404-2848
Phone (406) 760-2055

Other names 1

  • Little Shell Tribal Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129003872 TX Part B Supplier - Clinic/Group Practice 7012405871 Receives reassigned benefits from 9 practitioners
Practice locations: Great Falls, MT

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

511 Central Ave W
Great Falls, MT 59404

615 Central Ave W
Great Falls, MT 59404

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1649970526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CENTRAL AVE W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042848",
            "telephone_number": "406-760-2055",
            "fax_number": "406-403-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SMELTER AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041927",
            "telephone_number": "406-760-2055",
            "fax_number": "406-403-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "406-315-2400",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Shell Tribal Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.