Organization Active NPI

County of Mineral

Doing business as Mineral County Health Dept

  • Public Health or Welfare Agency
  • Superior, MT
National Provider Identifier
1902967839
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MINERAL
Doing business as
Mineral County Health Dept
Practice address
1203 5TH Ave East
Superior, MT 59872-9618
Phone
(406) 822-3564
Fax
(406) 822-3745
NPI assigned
Dec 13, 2006
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MINERAL COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mrs. Margaret Ann Stevens, REGISTERED NURSE
Title
Director
Phone
(406) 822-3564

Specialties & licenses 1

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

Addresses

Primary practice location

1203 5TH Ave East
Superior, MT 59872-9618

Mailing address

1203 5TH Ave East
Superior, MT 59872-9618
Phone (406) 822-3564

Other identifiers 2

IdentifierTypeStateIssuer
0003500991MedicaidMT
031418OtherMTBLUE CROSS BLUE SHIELD

Other names 1

  • Mineral County Health Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051202000710 MT Part B Supplier - Mass Immunization (Roster Biller Only) 8426078551 Practice locations: Superior, MT

National Provider Directory

National Provider Directory
Part of
Mineral County Health D

Locations

1203 5th Ave E
Superior, MT 59872
Phone (406) 822-3564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1902967839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 5TH AVE EAST",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729618",
            "telephone_number": "406-822-3564",
            "fax_number": "406-822-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 5TH AVE EAST",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729618",
            "telephone_number": "406-822-3564",
            "fax_number": "406-822-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MINERAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINERAL COUNTY",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-822-3564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003500991",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "031418",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Superior, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.