AWE KUALAWAACHE CARE CENTER (NPI# 1205926128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205926128 |
| Entity Type | Organization |
| Organization Name | AWE KUALAWAACHE CARE CENTER |
| Practice Address |
10131 South Heritage Rd Crow Agency MT 59022 |
| Mailing Address |
Po Box 999 Crow Agency MT 59022 |
| Practice Telephone | 4066389111 |
| Practice Fax Number | 4066389119 |
| Mailing Telephone | 4066389111 |
| Mailing Fax Number | 4066389119 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENT HANAWALT (ADMINISTRATOR) |
| Authorized Official Telephone | 4066389111 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 10981 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 310318 | 05 |
| Street Address |
10131 SOUTH HERITAGE RD |
| City | CROW AGENCY |
| State | MT |
| Zip Code | 59022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354135 | Robert He Does It | Counselor | 101 Baacheeitche Ave, Crow Agency, MT 59022 | 2018-04-30 |
| 1306334925 | Christine L. Good Luck | Counselor | 101 Baacheeitche Ave., Crow Agency, MT 59022 | 2018-04-30 |
| 1083140545 | Crow Nation Chr Health Dept. | Non-emergency Medical Transport (VAN) | 10069 South Heritage Rd, Crow Agency, MT 59022 | 2017-05-03 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1154860013 | Maria Kofas | Dietitian, Registered | South 7650 East 1010, Crow Agency, MT 59022 | 2017-02-13 |
| 1033599972 | Charles A Finley | Registered Nurse | 10110 S. 7650 E, Crow Agency, MT 59022 | 2015-06-05 |
| 1619356219 | Marjorie Sytsma | Registered Nurse | 10110 S 7650 East, Crow Agency, MT 59022 | 2015-05-28 |
| 1447536602 | Tina Joy Shutts | Registered Nurse | 10110 S Route 765 E, Crow Agency, MT 59022 | 2011-11-01 |
| 1417237108 | Barbara Jeanne O'hare | Registered Nurse | 10110s Route 765 East, Crow Agency, MT 59022 | 2011-08-25 |
| 1255633855 | Sandra Kay Montgomery | Registered Nurse | 10110 South, 7650 East, Crow Agency, MT 59022 | 2010-12-02 |
| Find all providers in zip 59022 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720539406 | Mark Allen | Nursing Facility/Intermediate Care Facility | 219 Deerfoot Trl, Kalispell, MT 59901-8725 | 2016-10-18 |
| 1982828273 | Daniels Memorial Hospital Association | Nursing Facility/Intermediate Care Facility | 105 5th Avenue East, Scobey, MT 59263-0400 | 2007-04-11 |
| 1770641383 | Stillwater Hospital Association, Inc. | Nursing Facility/Intermediate Care Facility | 44 W 4th Ave N, Columbus, MT 59019-0959 | 2006-12-05 |
| 1598756322 | County of Teton | Nursing Facility/Intermediate Care Facility | 24 Main Ave N, Choteau, MT 59422 | 2005-11-01 |
| 1639172489 | Northwest Horizons, Inc. | Nursing Facility/Intermediate Care Facility | 350 Conway Dr, Kalispell, MT 59901-3148 | 2005-05-24 |
| 1588925572 | Northern Cheyenne Board of Health | Nursing Facility/Intermediate Care Facility | 100 Cheyenne Avenue, Box 67, Lame Deer, MT 59043 | 2012-06-06 |
| 1992910822 | Community Hospital of Anaconda | Nursing Facility/Intermediate Care Facility | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2007-05-14 |
| 1023222494 | Billings Clinic | Nursing Facility/Intermediate Care Facility | 2800 10th Ave N, Billings, MT 59101-0703 | 2007-05-09 |
| 1235102013 | Northern Montana Hospital | Nursing Facility/Intermediate Care Facility | 24 13th St, Havre, MT 59501-5222 | 2006-02-10 |
| City | CROW AGENCY |
| Zip Code | 59022 |
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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.