CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION (NPI# 1669502316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669502316 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION |
| Other Organization Name | CSKT ST. IGNATIUS HEALTH CENTER PHARMACY |
| Practice Address |
35401 Mission Drive Saint Ignatius MT 59865 |
| Mailing Address |
308 Mission Drive Po Box 880 St Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067454721 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MR. JOSEPH DURGLO (BUSINESS OFFICE MANAGER) |
| 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 ID NUMBER-COMMERCIAL NUMBER | 2706438 | 01 | |
| MT | 0730236 | 05 |
| Other Name | Type Code |
|---|---|
| CSKT St. Ignatius Health Center Pharmacy | 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 |
| 1558482935 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Pharmacy | 5 4th Ave E, Polson, MT 59860-2117 | 2007-04-03 |
| Street Address |
35401 MISSION DRIVE |
| City | SAINT IGNATIUS |
| State | MT |
| Zip Code | 59865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952402208 | Confederated Salish and Kootenai Tribes of The Flathead Reservation | Clinic/Center | 35401 Mission Drive, Saint Ignatius, MT 59865-9676 | 2006-09-26 |
| 1851760615 | Jeanette K Blythe | Counselor | 35401 Mission Drive, Saint Ignatius, MT 59865-3649 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| Find all providers in zip 59865 | ||||
| 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 | ||||
| City | SAINT IGNATIUS |
| Zip Code | 59865 |
Please comment or provide details below to improve the information on CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION.
| 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.