MRS. CRYSTAL DAWN DECOTEAU (NPI# 1629316955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629316955 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL DAWN DECOTEAU |
| Practice Address |
550 6th Ave North Wolf Point MT 59201 |
| Mailing Address |
Po Box 67 Poplar MT 59255-0067 |
| Practice Telephone | 4066531641 |
| Mailing Telephone | 4067683603 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
550 6TH AVE NORTH |
| City | WOLF POINT |
| State | MT |
| Zip Code | 59201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205927936 | Us Health Dept of Health & Human Services | Clinic/Center | 550 6th Ave North, Wolf Point, MT 59201 | 2006-09-27 |
| 1801209655 | Richard Wayne Freeeman | Technician, Pathology | 550 6th Ave North, Wolf Point, MT 59201-0729 | 2014-06-10 |
| 1225455819 | Nancy Nordwick | Technician/Technologist | 550 6th Ave North, Wolf Point, MT 59201-0729 | 2014-03-21 |
| 1790076172 | Heather Lanaina Schildt | Registered Nurse | 550 6th Ave North, Wolf Point, MT 59201-0729 | 2011-04-20 |
| 1598087546 | David Piersak | Spec/Tech, Pathology | 550 6th Ave North, Wolf Point, MT 59201 | 2010-02-18 |
| 1811020316 | Linda Markle | Dentist | 550 6th Ave North, Wolf Point, MT 59201 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154644888 | Dawn M Nagle | Spec/Tech, Pathology | 550 6th Ave. North, Wolf Point, MT 59201 | 2010-03-09 |
| 1669643243 | Tomina Kinzie | Registered Nurse | 550 6th Avenue North, Wolf Point, MT 59201 | 2008-03-21 |
| 1477746709 | Joy Hansen White | Counselor | 710 Fallon St, Wolf Point, MT 59201 | 2007-08-21 |
| 1467538405 | Daniel P Maurer | Pharmacist | 550 Sixth Ave North, Wolf Point, MT 59201 | 2006-10-31 |
| 1215018619 | Brianne Hagan | Pharmacist | 550 6th Ave. N, Wolf Point, MT 59201 | 2006-10-18 |
| 1942394424 | Gillette Pharmacy, Inc. | Pharmacy | 228 Main Street, Wolf Point, MT 59201 | 2006-10-02 |
| 1477585644 | Timothy James Kurokawa | Nurse Practitioner | Box 729, Wolf Point, MT 59201 | 2006-07-07 |
| 1093794398 | Robert George Apgar | Emergency Medicine | 550 6th Ave. Norths, Wolf Point, MT 59201 | 2006-01-13 |
| 1881129062 | Betty Lou Meng | Registered Nurse | 550 6th Ave. North, Wolf Point, MT 59201 | 2017-04-26 |
| 1891966420 | Lois Elese Fleming | Registered Nurse | 550 6th Avenue North, Wolf Point, MT 59201 | 2008-03-24 |
| Find all providers in zip 59201 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841546520 | Susan Carole Porter | Spec/Tech, Pathology | 550 Sixth Av N, Wolf Point, MT 59201-0729 | 2012-07-31 |
| 1154644888 | Dawn M Nagle | Spec/Tech, Pathology | 550 6th Ave. North, Wolf Point, MT 59201 | 2010-03-09 |
| 1871084368 | Rebecca Suzanne Dayton | Spec/Tech, Pathology | 550 6th Ave N, Wolf Point, MT 59201-6000 | 2018-05-21 |
| 1598087546 | David Piersak | Spec/Tech, Pathology | 550 6th Ave North, Wolf Point, MT 59201 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1104047257 | Reynaldo Almadin Jornacion | Spec/Tech, Pathology | Rr1 Box 67, Harlem, MT 59526 | 2007-05-02 |
| 1538380175 | Bonna M Graham-hall | Spec/Tech, Pathology | 634 Eddy Ave., Missoula, MT 59812-6624 | 2007-05-01 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1699136416 | Myrna Kampen | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| 1346601069 | Marcia Hafera | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| 1588007959 | Mark Wray Korman | Spec/Tech, Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-04-16 |
| 1053678367 | Victor Ng | Spec/Tech, Pathology | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2012-04-12 |
| 1194081331 | Barbara Ann Freier | Spec/Tech, Pathology | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | WOLF POINT |
| Zip Code | 59201 |
Please comment or provide details below to improve the information on MRS. CRYSTAL DAWN DECOTEAU.
| 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.