Lake County

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

LAKE COUNTY

Doing business as

Lake County Health Department

Practice address

802 Main St
Suite a
Polson, MT 59860-3201

Phone

(406) 883-7288

Fax

(406) 883-7290

NPI assigned

Sep 29, 2006

Last updated

Jan 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Colomeda, RN

Title

Health Services Director

Phone

(406) 883-7288

Specialties & licenses 3

Addresses

Other names 1

• Lake County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Lake Co HLTH Fam PLNG2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lake County Chemical Dependency Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Polson, MT
  • NPI 1619909488
  NPD tax ID

Locations

Practitioners 3

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.

• Nichole Marie McKinsey, D,O,

  • Family Medicine Physician
  • Polson, MT
  • NPI 1790046035
  Medicare reassignment NPD
• Megan A Vigil, M.D.

  • Family Medicine Physician
  • Ronan, MT
  • NPI 1023450798
  Medicare reassignment NPD
• Anna M Danz, WHNP

  • Women's Health Nurse Practitioner
  • Bigfork, MT
  • NPI 1386073716
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1699867051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 4TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602133",
            "telephone_number": "406-883-7288",
            "fax_number": "406-883-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAIN ST",
            "address_2": "SUITE A",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603201",
            "telephone_number": "406-883-7288",
            "fax_number": "406-883-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "COLOMEDA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "406-883-7288",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Christine King, COTA
• Mia Kluesner, DR
• Joshua Michael Krantz
• Ruslana V Kurpita, M.D.
• Coralie Laeupple, LCSW
• Lake County Chemical Dependency Program
• Susan Mae Lambert, PTA
• Katherine Lansing, PTA
• Kelli Anne Larson, D.O.
• Jaime Lawrence

• State or Local Public Health Clinic/Center in Polson, MT
• Providers in Polson, MT by specialty
• State or Local Public Health Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.