NPIMap

Organization Active NPI

County of Fallon

  • Public Health or Welfare Agency
  • Baker, MT
National Provider Identifier
1902089550
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
31663 Issued in MT
Legal business name
COUNTY OF FALLON
Practice address
205 S 4TH Street W
Baker, MT 59313-0820
Phone
(406) 778-2824
Fax
(406) 778-2819
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF FALLONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Brenda J Wood
Title
Fallon County Clerk and Recorder
Phone
(406) 778-7106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 31663 MT Primary

Addresses

Primary practice location

205 S 4TH Street W
Baker, MT 59313-0820

Mailing address

PO Box 820
Baker, MT 59313-0820
Phone (406) 778-2824

Other names 1

  • Fallon County Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000068 MT Part B Supplier - Mass Immunization (Roster Biller Only) 8628971959 Practice locations: Baker, 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 Fallon2 organizations share this tax ID, including this one
Part of
County of Fallon

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1902089550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "BAKER",
            "state": "MT",
            "postal_code": "593130820",
            "telephone_number": "406-778-2824",
            "fax_number": "406-778-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 4TH STREET W",
            "city": "BAKER",
            "state": "MT",
            "postal_code": "593130820",
            "telephone_number": "406-778-2824",
            "fax_number": "406-778-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FALLON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FALLON",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FALLON COUNTY CLERK AND RECORDER",
        "authorized_official_telephone_number": "406-778-7106"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MT",
            "license": "31663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallon County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baker, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.