NORTHERN MONTANA HOSPITAL (NPI# 1396896361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396896361 |
| Entity Type | Organization |
| Organization Name | NORTHERN MONTANA HOSPITAL |
| Other Organization Name | NORTHERN MONTANA MEDICAL GROUP BAM |
| Practice Address |
20 13th St W Havre MT 59501-5215 |
| Mailing Address |
Po Box 1231 Havre MT 59501-1231 |
| Practice Telephone | 4062657831 |
| Practice Fax Number | 4062651651 |
| Mailing Telephone | 4062621302 |
| Mailing Fax Number | 4062651651 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-02-13 |
| Authorized Official Name | DAVID C HENRY (PRESIDENT CEO) |
| Authorized Official Telephone | 4062621302 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN MONTANA HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 000064732 | 01 |
| Other Name | Type Code |
|---|---|
| Northern Montana Medical Group BAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213121 | Northern Montana Hospital | Assisted Living Facility | 24 13th St, Havre, MT 59501-5222 | 2006-02-10 |
| 1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
| 1134307010 | Northern Montana Hospital | Clinic/Center | 124 13th St, Havre, MT 59501-5223 | 2008-02-04 |
| 1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
| 1619156775 | Northern Montana Hospital | Clinic/Center | 30 13th St, Havre, MT 59501-5222 | 2007-10-25 |
| 1528281110 | Northern Montana Hospital | Home Health | 30 13th St, Havre, MT 59501-5222 | 2007-04-11 |
| 1679624746 | Northern Montana Hospital | Clinic/Center | 115 4th Ave W, Havre, MT 59501-3456 | 2007-01-16 |
| 1023169190 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| 1932250909 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| 1578657698 | Northern Montana Hospital | General Acute Care Hospital | 30 13th St, Havre, MT 59501-5222 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MONTANA HOSPITAL | 30 13th St, Havre, MT 59501-5222 |
| Street Address |
20 13TH ST W |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960554 | Tammy L Ralston | Registered Nurse | 20 13th St W, Havre, MT 59501-5215 | 2005-11-25 |
| 1326689274 | Patrick A Thorsen | Pharmacist | 20 13th St W, Havre, MT 59501-5215 | 2019-10-02 |
| 1760709661 | Kevin Arthur Harada | Internal Medicine | 20 13th St W, Havre, MT 59501-5215 | 2010-05-01 |
| 1013247097 | Chris D Laviola | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2010-01-13 |
| 1255664249 | Christina B Yeagley | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2009-09-09 |
| 1346482916 | Shane Elliot Jenson | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2009-03-29 |
| 1992968366 | John G. Grow | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2008-07-07 |
| 1720249444 | Anita Marie Kellam | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2008-06-25 |
| 1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
| 1275740334 | Erin Ulano | Psychiatry & Neurology | 20 13th St W, Havre, MT 59501-5215 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134307010 | Northern Montana Hospital | Clinic/Center | 124 13th St, Havre, MT 59501-5223 | 2008-02-04 |
| 1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
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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.