MARIAS HEALTHCARE SERVICES INC (NPI# 1245481159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245481159 |
| Entity Type | Organization |
| Organization Name | MARIAS HEALTHCARE SERVICES INC |
| Practice Address |
13 1st St S Sunburst MT 59474-1663 |
| Mailing Address |
670 Park Ave Shelby MT 59474-1663 |
| Practice Telephone | 4064343118 |
| Practice Fax Number | 4064343143 |
| Mailing Telephone | 4064343110 |
| Mailing Fax Number | 4064343143 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | JAMIE F BROWNELL (CEO) |
| Authorized Official Telephone | 4064343110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
271826 | MT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1932762515 | Marias Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 670 Park Ave, Shelby, MT 59474-1663 | 2019-04-18 |
| 1255582615 | Marias Healthcare Services Inc | Clinic/Center | 422 Montana, Valier, MT 59486 | 2008-10-03 |
| 1881697209 | Marias Healthcare Services Inc | Clinic/Center | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARIAS HEALTHCARE SERVICES INC | 670 Park Ave, Shelby, MT 59474-1663 |
| Street Address |
13 1ST ST S |
| City | SUNBURST |
| State | MT |
| Zip Code | 59474-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361559 | Scott Allen Luly | Dentist | 50 Crossroads Drive, Shelby, MT 59474 | 2014-10-20 |
| 1013250950 | Justin Paul Hooker | Podiatrist | 670 Park Ave, Shelby, MT 59474 | 2013-03-28 |
| 1598710691 | Shopko Stores Operating Co LLC | Pharmacy | 1950 Roosevelt Hwy, Shelby, MT 59474-0920 | 2006-05-24 |
| 1659877538 | Jasmine Gonzaga | Registered Nurse | 943 Teton Ave, Shelby, MT 59474-1526 | 2018-04-01 |
| 1285184200 | Kyle Ann Kelsey Spinner | Pharmacist | 1950 W Roosevelt Hwy, Shelby, MT 59474-1549 | 2016-10-13 |
| 1659368512 | Toole County | Ambulance | 825 Oilfield Ave, Shelby, MT 59474-1642 | 2005-10-05 |
| 1669646238 | Shelby School District | Local Education Agency (LEA) | 1010 Oilfield Ave, Shelby, MT 59474-1647 | 2008-04-15 |
| 1780671834 | Toole County | Home Health | 640 Park Ave, Shelby, MT 59474-1663 | 2005-10-04 |
| 1174526503 | Lance Lynn Stewart | Family Medicine | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| 1700403201 | Paije E Gianarelli | Counselor | 670 Park Ave, Shelby, MT 59474-1663 | 2020-06-30 |
| Find all providers in zip 59474 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1669081931 | Partnership Health Center Inc | Clinic/Center | 1720 Wyoming St Ste 201, Missoula, MT 59801-1526 | 2020-07-23 |
| 1336767789 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 35928 Joe Mcdonald Drive, Pablo, MT 59855 | 2020-07-13 |
| 1629696067 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 71972 Bitterroot Jim Road, Arlee, MT 59821 | 2020-07-13 |
| 1962020461 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | #5 Fourth Ave East, Polson, MT 59860-2117 | 2020-07-10 |
| 1619595113 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 33116 Us Highway 93 North, Elmo, MT 59915-7707 | 2020-07-10 |
| 1750926762 | Partnership Health Center Inc | Clinic/Center | 901 S 6th St W, Missoula, MT 59801-3752 | 2019-11-13 |
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
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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.