Organization Active NPI

Chinook Area Senior Center

  • Home Delivered Meals
  • Chinook, MT
National Provider Identifier
1922139955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
CHINOOK AREA SENIOR CENTER
Practice address
324 Penn Street
Chinook, MT 59523
Phone
(406) 357-2648
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilyne Berger
Title
Director
Phone
(406) 357-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X MT Primary

Addresses

Primary practice location

324 Penn Street
Chinook, MT 59523

Mailing address

PO Box 790
Chinook, MT 59523-0790

Other identifiers 1

IdentifierTypeStateIssuer
0830167MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922139955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PENN STREET",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "59523",
            "telephone_number": "406-357-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINOOK AREA SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MARILYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-357-2648"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830167",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinook, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.