Active NPI
County of Prairie
- Community Health Registered Nurse
- Terry, MT
National Provider Identifier
1760697239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Legal business name
- COUNTY OF PRAIRIE
- Practice address
- 203 South Logan Ave
Terry, MT 59349-0125 - Phone
- (406) 635-2020
- Fax
- (406) 635-5575
- NPI assigned
- May 10, 2007
- Last updated
- Sep 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Megan E Olson, RN
- Title
- Public Health RN
- Phone
- (406) 635-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | Primary |
Addresses
Primary practice location
203 South Logan Ave
Terry, MT 59349-0125
Mailing address
P.O. Box 202
Terry, MT 59349-0125
Phone (406) 635-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080731000517 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981598083 | Practice locations: Terry, 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- Tax ID family
- County of Prairie
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Terry, MT
- NPI 1811045511
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.
-
- Land Ambulance
- Terry, MT
- NPI 1811045511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443571200000",
"number": "1760697239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 202",
"city": "TERRY",
"state": "MT",
"postal_code": "593490125",
"telephone_number": "406-635-2020",
"fax_number": "406-635-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 SOUTH LOGAN AVE",
"city": "TERRY",
"state": "MT",
"postal_code": "593490125",
"telephone_number": "406-635-2020",
"fax_number": "406-635-5575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF PRAIRIE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2015-09-30",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PUBLIC HEALTH RN",
"authorized_official_telephone_number": "406-635-2020",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terry, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.