Gallatin County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

GALLATIN COUNTY

Doing business as

Gallatin City-County Health Department

Practice address

215 W Mendenhall St Ste 117
Bozeman, MT 59715-3401

Phone

(406) 582-3100

Fax

(406) 582-3112

NPI assigned

Dec 28, 2006

Last updated

Nov 21, 2017By 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

Mr. Matthew D Kelley, AO

Title

Health Officer

Phone

(406) 582-3100

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Gallatin City-County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Gallatin County

  dba Gallatin Rest Home

  • Skilled Nursing Facility
  • Bozeman, MT
  • NPI 1831196393

  3274431945

  Same PAC ID

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

Gallatin Co Rest Home2 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.

• Gallatin County

  dba Gallatin Rest Home

  • Skilled Nursing Facility
  • Bozeman, MT
  • NPI 1831196393
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Gallatin County

  dba Gallatin Rest Home

  • Skilled Nursing Facility
  • Bozeman, MT
  • NPI 1831196393

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1841356748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154594",
            "telephone_number": "406-582-3100",
            "fax_number": "406-582-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MENDENHALL ST STE 117",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153401",
            "telephone_number": "406-582-3100",
            "fax_number": "406-582-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "406-582-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290576",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290628",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "31528",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290056",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500939",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallatin City-County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaia Girl Inc
• Gianna Marie Galba
• Lindsey Gale, LCPC, NCC
• Gallatin Counseling, PLLC
• Gallatin County (Gallatin Rest Home)
• Gallatin Health Supplies
• Gallatin Plastic Surgery, PLLC
• Gallatin Psychotherapy, Inc
• Gallatin Valley Anesthesia Associates
• Gallatin Valley Anesthesia Associates PC

• Public Health or Welfare Agency in Bozeman, MT
• Providers in Bozeman, 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 Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.