County of Blaine

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF BLAINE

Doing business as

Blaine County Health Dept.

Practice address

420A Ohio
Chinook, MT 59523-0516

Phone

(406) 357-2345

Fax

(406) 357-3891

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Scott Weber

Title

Billing and Program Asst

Phone

(406) 357-2345

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Blaine County Health Dept. 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).

• County of Blaine Montana

  dba Blaine County Ambulance

  • Land Ambulance
  • Chinook, MT
  • NPI 1366506370

  6608760764

  Same PAC ID

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1881811693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 516 420A OHIO",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230516",
            "telephone_number": "406-357-2345",
            "fax_number": "406-357-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420A OHIO",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230516",
            "telephone_number": "406-357-2345",
            "fax_number": "406-357-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BLAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "BILLING AND PROGRAM ASST",
        "authorized_official_telephone_number": "406-357-2345"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MT",
            "license": "RN 21995",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000350523",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine County Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinook Area Senior Center
• Chinook Eye Center, LLC
• Chinook Pharmacy Inc (Chinook Pharmacy)
• Stephanie Jo Christman
• Colors in Life, Inc.
• County of Blaine Montana (Blaine County Ambulance)
• Kelcey John Diemert, RPH
• Nancy Diemert, RPH
• Eggleston Therapy LLC (Hi-Line Pediatric Therapy)
• Johanna Eggleston, OTR/L

• State or Local Public Health Clinic/Center in Chinook, MT
• Providers in Chinook, MT by specialty
• 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 Jun 17, 2016; 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.