Lake County

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

LAKE COUNTY

Practice address

802 Main St
Suite a
Polson, MT 59860-3201

Phone

(406) 883-7288

Fax

(406) 883-7290

NPI assigned

Sep 29, 2006

Organization subpart

No

Name

Emily Colomeda, RN

Title

Health Services Director

Phone

(406) 883-7288

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

• Nichole Marie McKinsey, D,O,

  • Family Medicine Physician
  • Polson, MT
  • NPI 1790046035

  MT

  Medicare reassignment NPD
• Megan A Vigil, M.D.

  • Family Medicine Physician
  • Ronan, MT
  • NPI 1023450798

  MT

  Medicare reassignment NPD
• Anna M Danz, WHNP

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

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Tax ID family

Lake County2 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

• Lake County Health Department Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31308",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3502109",
            "state": "MT"
        }
    ],
    "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

• All providers in Polson, MT
• 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.