County of Broadwater

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

D20580 Issued in MT

Legal business name

COUNTY OF BROADWATER

Doing business as

Broadwater County Health Services

Practice address

124 N Cedar St
Townsend, MT 59644-2300

Phone

(406) 266-5209

Fax

(406) 266-3940

NPI assigned

Dec 19, 2006

Last updated

Apr 18, 2024By 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

Diane Thorne

Title

Administrative Assistant

Phone

(406) 266-5209

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Broadwater County Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1740344589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N CEDAR ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442300",
            "telephone_number": "406-266-5209",
            "fax_number": "406-266-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N CEDAR ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442300",
            "telephone_number": "406-266-5209",
            "fax_number": "406-266-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BROADWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "406-266-5209"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MT",
            "license": "D20580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CHIPS",
            "identifier": "3136-8",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3502876",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadwater County Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health or Welfare Agency in Townsend, MT
• Providers in Townsend, MT by specialty
• Public Health or Welfare Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.