NPIMap

Organization Active NPI

US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
National Provider Identifier
1972694602
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
US HEALTH DEPT OF HEALTH & HUMAN SERVICES
Practice address
107 H Street East
Poplar, MT 59255
Phone
(406) 768-3491
Fax
(406) 768-3491
NPI assigned
Sep 27, 2006
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Marjorie Spotted Bird
Title
Chief Executive Officer
Phone
(406) 768-3491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Taxi 344600000X NU

Addresses

Primary practice location

107 H Street East
Poplar, MT 59255

Mailing address

PO Box 67
Poplar, MT 59255-0067
Phone (406) 768-3491

Other identifiers 2

IdentifierTypeStateIssuer
000009301OtherMTBC/BS OF MONTANA
2210068MedicaidMT

Other names 1

  • Verne Gibbs Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000399 TX Part B Supplier - Clinic/Group Practice 9638081623 Receives reassigned benefits from 337 practitioners
12 other NPIs on this enrollment
Practice locations: Harlem, MT; Wolf Point, MT; Pryor, MT; Poplar, MT; Lodge Grass, MT; Lame Deer, MT; Heart Butte, MT; Fort Washakie, WY…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2900 4th Ave N
Billings, MT 59101
Phone (406) 247-7106

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quentin N Burdick Comprehensive Health Care FacilityBelcourt, ND, CCN 350063 Hospital Operational/Managerial Control Sep 1, 2010
Fort Belknap Health CenterHarlem, MT, CCN 271315 Hospital Operational/Managerial Control (100%) Dec 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 346

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.

View all 346

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1972694602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550067",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H STREET EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US HEALTH DEPT OF HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-12-21",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "SPOTTED BIRD",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-768-3491"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MONTANA",
            "identifier": "000009301",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210068",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verne Gibbs Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Verne Gibbs Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poplar, MT

Sources for this page

Verify at the official NPI Registry.