Active NPI
County of Mineral
Doing business as Mineral County Health Dept
- Public Health or Welfare Agency
- Superior, MT
National Provider Identifier
1902967839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- MINERAL COUNTY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003500991 | Medicaid | MT | |
| 031418 | Other | MT | BLUE CROSS BLUE SHIELD |
Other names 1
- Mineral County Health Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Mental Health Counselor
- Superior, MT
- NPI 1245987106
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.