Marias Healthcare Services Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Shelby, MT
NPI 1881697209 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1881697209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 271825 (MT)
- Legal business name
- MARIAS HEALTHCARE SERVICES INC
- Practice address
- 1950 W Roosevelt Hwy
Shelby, MT 59474-1549 - Phone
- (406) 434-3100
- Fax
- (406) 434-3143
- NPI assigned
- May 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jamie F Brownell, CPC, CPC-H
- Title
- Ceo
- Phone
- (406) 434-3100
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 4
Practitioners 42
-
Todd E Gianarelli, M.D.
-
Jodi L Habets, NP-C
-
Justin Paul Hooker, DPM, MS
-
Christopher S Rost, PA-C
-
Conley Lynch, M.D.
-
Tracy L Richman, RN, CNM
-
Joni M Walton, NP
-
Lorena Wood, LCSW
-
Ronald Lee Burinsky, D.O.
-
Alex K Curtis, M.D.
-
Paula Kay Halama, FNP-C
-
Brooke Larson, PMHNP
-
Timothy D. Nostrum, M.D.
-
April C Viverette, LCSW
-
Sara Jill Bybee, MD
-
Vena Marie Tawkoyty, PMHNP-BC
-
Henry Tucker Clay Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MT
Federally qualified health center certification: CCN 271825
- Legal name
- MARIAS HEALTHCARE SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 21, 2004
- Last certification
- Jun 21, 2004
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 1, 1992 in MT
- Enrollment address
- 1950 W Roosevelt Hwy
Shelby, MT 59474-1549
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Jamie F Brownell |
Corporate Officer |
Jun 26, 2003 | |
| W-2 Managing Employee |
Jun 26, 2003 | ||
| Sharon K Berthelote |
Corporate Director |
Nov 30, 2009 | |
| Steven W Ahrens |
Corporate Director |
Nov 30, 2011 | |
| Robert D Aklestad |
Corporate Director |
Nov 30, 2003 | |
| Jennie Becker |
Corporate Director |
Nov 1, 2017 | |
| Gary R Seubert |
Corporate Director |
Nov 30, 2009 | |
| Robert Kovatch |
Corporate Director |
Nov 30, 2003 | |
| Barbie Alvestad |
Corporate Director |
Nov 30, 2012 | |
| Brian D Lee |
Corporate Director |
Nov 30, 2005 | |
| Jeffrey S Stores |
Corporate Director |
Nov 30, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304001096 | MT | Part B Supplier - Clinic/Group Practice | 3577451327 |
Receives reassigned benefits from 21 practitioners 2 other NPIs on this enrollment Practice locations: Shelby, MT; Valier, MT; Sunburst, MT; Conrad, MT |
| O20100331000648 | MT | Part a Provider - Federally Qualified Health Center (FQHC) | 3577451327 | Practice locations: Shelby, MT |
| O20100930090282 | MT | DME Supplier - Physician - Family Practice | 3577451327 | Practice locations: Shelby, MT |
National Provider Directory
Locations
925 Oilfield Ave
Shelby, MT 59474
Phone (406) 434-2763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 271825 | MT | Yes |
Addresses
Primary practice location
1950 W Roosevelt Hwy
Shelby, MT 59474-1549
Mailing address
PO Box 990
Shelby, MT 59474-0990
Phone (406) 434-3100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 1415.0001@direct.mhsi.nextgenshare.com | Marias Healthcare Services Inc |
Other providers in Shelby, MT
- Logan Health Care Center - Shelby
- Scott Allen Luly
- Conley Lynch
- Michael Don Mahana
- Marias Healthcare Services Inc
- Marias Healthcare Services Inc
- Jennifer Marsicano
- Amber Massey
- Darcy Jo McAllister
- Mary Louise Meis
All providers in Shelby, MT · Federally Qualified Health Center (FQHC) in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.