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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0864989Roosevelt County Health Dept
124 Custer Street, Wolf Point, MT 59201
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000352950MedicaidMT

Other names

  • Roosevelt County Health Department Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2025.

{
    "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

All providers in Wolf Point, MT · Public Health or Welfare Agency in Montana

Sources for this page

Verify at the official NPI Registry.