Roosevelt County
Organization Active NPI Public Health or Welfare Agency · Wolf Point, MT
NPI 1962566034 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1962566034
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- ROOSEVELT COUNTY
- Practice address
- 124 Custer Street
Suite a
Wolf Point, MT 59201-1640 - Phone
- (406) 653-6223
- Fax
- (406) 653-6210
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Gordon Oelkers
- Title
- County Commissioner - Chairman
- Phone
- (406) 653-6246
Practitioners 3
-
Raine J Adams, LAC
-
Dennis Dean Bighorn, LAC
-
Amy Camille Tipton, LCPC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0864989 | Roosevelt County Health Dept | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928001217 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840269619 | Practice locations: Wolf Point, MT |
National Provider Directory
Locations
400 2nd Ave S
Wolf Point, MT 59201
Phone (406) 653-1872
124 Custer St
Ste A
Wolf Point, MT 59201
Phone (406) 653-6223
124 Custer St
Wolf Point, MT 59201
Phone (406) 653-1872
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
124 Custer Street
Suite a
Wolf Point, MT 59201-1640
Mailing address
124 Custer St Ste a
Wolf Point, MT 59201-1640
Phone (406) 653-6223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000352950 | Medicaid | MT |
Other names
- Roosevelt County Health Department
NPI Registry JSON
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1962566034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CUSTER ST STE A",
"city": "WOLF POINT",
"state": "MT",
"postal_code": "592011640",
"telephone_number": "406-653-6223",
"fax_number": "406-653-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CUSTER STREET",
"address_2": "SUITE A",
"city": "WOLF POINT",
"state": "MT",
"postal_code": "592011640",
"telephone_number": "406-653-6223",
"fax_number": "406-653-6210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOSEVELT COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "OELKERS",
"authorized_official_first_name": "GORDON",
"authorized_official_title_or_position": "COUNTY COMMISSIONER - CHAIRMAN",
"authorized_official_telephone_number": "406-653-6246"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000352950",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roosevelt County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wolf Point, MT
- David Piersak
- Susan Carole Porter
- Brianna Red Cloud
- Abby Lynn Reum
- Julie Rodenberg
- Jessica Ruffing
- Rebecca Nicole Stacey
- Margaret Mary Stahler
- Allison Blair Taranto
- Taylor D Spines Family Wellness Chiropractic PLLC
All providers in Wolf Point, MT · Public Health or Welfare Agency in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.