HEART BUTTE HEALTH STATION PHARMACY (NPI# 1124403753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124403753 |
| Entity Type | Organization |
| Organization Name | HEART BUTTE HEALTH STATION PHARMACY |
| Practice Address |
81 Disney Heart Butte MT 59448-0080 |
| Mailing Address |
Po Box 80 81 Disney Heart Butte MT 59448-0080 |
| Practice Telephone | 4063382151 |
| Mailing Telephone | 4063382151 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | DEANNA A DENNIS (AREA BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 4062474467 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BH4005686 | BH4005686 | 01 | |
| NCPDP NUMBER | 2763197 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| Street Address |
81 DISNEY |
| City | HEART BUTTE |
| State | MT |
| Zip Code | 59448-0080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598867848 | U S Health Dept of Health & Human Services | Clinic/Center | 81 Disney Street, Heart Butte, MT 59448 | 2006-09-05 |
| 1619153475 | Mary Ellen Racine | Registered Nurse | 81 Disney Street, Heart Butte, MT 59448-0000 | 2008-01-11 |
| 1134456890 | Heart Butte K-12 Schools | Local Education Agency (LEA) | #1 School Road, Heart Butte, MT 59448-0259 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134456890 | Heart Butte K-12 Schools | Local Education Agency (LEA) | #1 School Road, Heart Butte, MT 59448-0259 | 2009-11-17 |
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| 1598867848 | U S Health Dept of Health & Human Services | Clinic/Center | 81 Disney Street, Heart Butte, MT 59448 | 2006-09-05 |
| 1619153475 | Mary Ellen Racine | Registered Nurse | 81 Disney Street, Heart Butte, MT 59448-0000 | 2008-01-11 |
| 1558546507 | Stacey L Thomas | Pharmacist | 81 Disney Street, Heart Butte, MT 59432-0000 | 2008-01-08 |
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699801779 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59417 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007242 | Pryor Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Pryor Gap Rd, Pryor, MT 59066 | 2007-03-06 |
| 1669501649 | Lodge Grass Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Harding Ave, Lodge Grass, MT 59050 | 2007-03-05 |
| 1306972633 | Hays Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123 White Crow Rd, Hays, MT 59527 | 2007-02-23 |
| 1861528192 | Fort Belknap Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 456 Gros Ventre Ave, Rr1, Box 67, Harlem, MT 59526 | 2007-02-23 |
| 1952437287 | Crow Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 Highway and I-90 Intersection, Crow Agency, MT 59022 | 2007-02-23 |
| 1821123522 | Blackfeet Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 760 Hospital Cir, Browning, MT 59417 | 2007-02-22 |
| 1316158280 | Rocky Boy Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2007-05-24 |
| 1588791586 | Poplar Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 H St E, Poplar, MT 59255 | 2007-02-27 |
| 1588791594 | Wolf Point Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 550 6th Ave N, Wolf Point, MT 59201 | 2007-02-27 |
| 1669508768 | Lame Deer Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | HEART BUTTE |
| Zip Code | 59448 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.