CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION (NPI# 1558482935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558482935 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION |
| Other Organization Name | POLSON TRIBAL HEALTH CENTER |
| Practice Address |
5 4th Ave E Polson MT 59860-2117 |
| Mailing Address |
Po Box 880 308 Mission Dr St Ignatius MT 59865 |
| Practice Telephone | 4066752700 |
| Practice Fax Number | 4067454095 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-07-09 |
| NPI Deactivation Date | 06/08/2007 |
| NPI Reactivation Date | 2017-08-15 |
| Authorized Official Name | JOSEPH DURGLO JR. (BUSINESS OFFICE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4067453525 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATIO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 2210104 | 05 |
| Other Name | Type Code |
|---|---|
| CSKT Polson Health Center Pharmacy | Doing Business As Name - Organization |
| Polson Tribal Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1235757717 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 8 2nd Ave Sw, Ronan, MT 59864-2715 | 2020-07-10 |
| 1669502316 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Pharmacy | 35401 Mission Drive, Saint Ignatius, MT 59865 | 2007-03-06 |
| Street Address |
5 4TH AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578549580 | Clint Hoxie | Optometrist | 5 4th Ave E, Polson, MT 59860-2117 | 2005-12-21 |
| 1992317838 | Heather Michelle Howell | Dentist | 5 4th Ave E, Polson, MT 59860-2117 | 2020-08-21 |
| 1912546466 | Kaelen Christine Wall | Registered Nurse | 5 4th Ave E, Polson, MT 59860-2117 | 2020-01-02 |
| 1669986261 | Terry L. Whitecotton | Pharmacist | 5 4th Ave E, Polson, MT 59860 | 2017-11-20 |
| 1326599655 | Bobbi Jo Blackweasel | Registered Nurse | 5 4th Ave E, Polson, MT 59860 | 2016-10-21 |
| 1841630126 | Scott Stringer | Dentist | 5 4th Ave E, Polson, MT 59860 | 2013-07-01 |
| 1255548350 | David J. Sievert | Dentist | 5 4th Ave E, Polson, MT 59860-2117 | 2007-05-17 |
| 1962617704 | Travis Ladel Fisher | Dental Hygienist | 5 4th Ave E, Polson, MT 59860-2117 | 2007-05-14 |
| 1801014972 | Debbie Anderson | Registered Nurse | 5 4th Ave E, Polson, MT 59860-2117 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1124403753 | Heart Butte Health Station Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 81 Disney, Heart Butte, MT 59448-0080 | 2015-07-24 |
| 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 |
| 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.