FORT PECK TRIBES (NPI# 1659483048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659483048 |
| Entity Type | Organization |
| Organization Name | FORT PECK TRIBES |
| Other Organization Name | FORT PECK TRIBAL DIALYSIS UNIT |
| Practice Address |
107 H St Poplar MT 59255-1027 |
| Mailing Address |
Po Box 1027 Poplar MT 59255-1027 |
| Practice Telephone | 4067685468 |
| Practice Fax Number | 4067685121 |
| Mailing Telephone | 4067685468 |
| Mailing Fax Number | 4067685121 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | ROBYN NYGARD (ADMINISTRATOR) |
| Authorized Official Telephone | 4067685468 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0730041 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Peck Tribal Dialysis Unit | Doing Business As Name - Organization |
| Street Address |
107 H ST |
| City | POPLAR |
| State | MT |
| Zip Code | 59255-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548740368 | Erin Gockel | Nurse Practitioner | 107 H St, Poplar, MT 59255 | 2018-08-21 |
| 1245618248 | Jennifer Moran | Registered Nurse | 107 H St, Poplar, MT 59255 | 2015-05-11 |
| 1295995579 | Susan Jeannette Cox-foster | Registered Nurse | 107 H St, Poplar, MT 59255 | 2008-06-11 |
| 1386804664 | Tara L Spradley | Registered Nurse | 107 H St, Poplar, MT 59255 | 2008-06-11 |
| 1700045325 | Dawn Marie Hanks | Registered Nurse | 107 H St, Poplar, MT 59255 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284814 | Community Medical Center Dialysis | Clinic/Center | 1325 S Reserve St, Missoula, MT 59801-4759 | 2018-08-10 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1790227403 | Dialysis Clinic Inc | Clinic/Center | 303 Ridgewater Dr, Polson, MT 59860-8547 | 2016-11-11 |
| 1144682758 | Fresenius Medical Care of Montana LLC | Clinic/Center | 305 Ridgewater Dr, Polson, MT 59860-8547 | 2016-03-23 |
| 1073975686 | Gfld,llc | Clinic/Center | 1724 26th Street S, Great Falls, MT 59405-5272 | 2016-03-23 |
| 1043634280 | Billings Clinic Dialysis LLC | Clinic/Center | 616 N 25th St, Billings, MT 59101-1040 | 2014-02-07 |
| 1578993663 | Total Renal Care Inc | Clinic/Center | 3400 10th Ave S, Ste 1, Great Falls, MT 59405-3473 | 2013-11-26 |
| 1679871537 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3745 Harrison Ave, Suite D, Butte, MT 59701-6814 | 2011-03-02 |
| 1861790727 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3100 Great Northern Ave, Missoula, MT 59808-1539 | 2011-03-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| 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.