SIDNEY HEALTH CENTER (NPI# 1730252883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730252883 |
| Entity Type | Organization |
| Organization Name | SIDNEY HEALTH CENTER |
| Other Organization Name | MON DAK FAMILY CLINIC |
| Practice Address |
304 S Ellery Fairview MT 59221 |
| Mailing Address |
214 14th Ave Sw Suite 107 Sidney MT 59270 |
| Practice Telephone | 4067425261 |
| Practice Fax Number | 4067425263 |
| Mailing Telephone | 4064882169 |
| Mailing Fax Number | 4064882149 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MR. RICHARD HARALDSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4064882118 |
| Is Organization Subpart | N |
| 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 | 0720161 | 05 | |
| MT | BLUE CROSS | 63062 | 01 |
| Other Name | Type Code |
|---|---|
| Mon Dak Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695680 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 S Central Ave, Sidney, MT 59270-4126 | 2006-10-20 |
| 1174537179 | Sidney Health Center | Pharmacy | 304 South Ellery Ave., Fairview, MT 59221 | 2006-07-28 |
| 1790771699 | Sidney Health Center | Pharmacy | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2005-09-26 |
| 1215922513 | Sidney Health Center | Clinic/Center | 104 14th Ave Nw, Sidney, MT 59270-3525 | 2005-09-13 |
| 1376617191 | Sidney Health Center | Clinic/Center | 214 14th Ave Sw, Ste 107, Sidney, MT 59270-3521 | 2006-11-20 |
| 1699845958 | Sidney Health Center | Clinic/Center | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-11-08 |
| 1568532802 | Sidney Health Center | Clinic/Center | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-11-08 |
| 1285719161 | Sidney Health Center | General Acute Care Hospital | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-10-26 |
| 1467537373 | Sidney Health Center | Medicare Defined Swing Bed Unit | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-10-26 |
| 1932160413 | Sidney Health Center | Hospice Care, Community Based | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-04-01 |
| Street Address |
304 S ELLERY |
| City | FAIRVIEW |
| State | MT |
| Zip Code | 59221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922094 | Leo Wilson | Technician | 403 Prospect Ave., Fairview, ND 59221 | 2020-11-06 |
| 1679857007 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 35511 County Road 134, Fairview, MT 59221 | 2011-10-04 |
| 1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
| 1912051954 | Barbara Diane Danielson | Pharmacist | 304 S. Ellery, Fairview, MT 59221 | 2007-01-23 |
| 1174537179 | Sidney Health Center | Pharmacy | 304 South Ellery Ave., Fairview, MT 59221 | 2006-07-28 |
| 1528367539 | Melody Keller | Naturopath | 304 S Ellery Ave, Fairview, MT 59221-7210 | 2011-03-17 |
| 1750849485 | Dee Laura Hamburg | Nurse Practitioner | 35511 County Road 134, Fairview, MT 59221-9465 | 2019-03-12 |
| 1952654493 | Lori Dore | Registered Nurse | 35511 County Road 134, Fairview, MT 59221-9465 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1649879719 | Rachel Elaine Thorpe | Behavior Technician | 6011 Pebble Creek Dr, Fairview, PA 16415-3263 | 2020-10-20 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| 1588278113 | Brigitte Sullivan | Social Worker | 310 Grace Ave, Fairview, PA 16415-1445 | 2020-09-01 |
| 1336750256 | Ruby Jane Slamick | Technician | 4617 Daybrook Rd, Fairview, WV 26570-6118 | 2020-08-13 |
| 1346851466 | Amber Lynn Vantassell | Technician | 97 Miracle Run Rd, Fairview, WV 26570-6049 | 2020-08-12 |
| 1801407184 | Janet Gail Michael | Technician | 2253 Daybrook Rd, Fairview, WV 26570-8600 | 2020-08-11 |
| 1861003147 | Steven Puhalla | Technician | 72 Yank Hollow Rd, Fairview, WV 26570-8673 | 2020-08-11 |
| 1154930907 | Cynthia Hamilton | Case Manager/Care Coordinator | 27 Yank Hollow Rd, Fairview, WV 26570-8674 | 2020-07-28 |
| 1033733589 | Jennifer Renee Ramm | Nurse Practitioner | 1320 Mulberry Ln, Fairview, PA 16415-1562 | 2020-06-01 |
| Find all providers in FAIRVIEW | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1174776207 | Fairview Clinic Plc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2008-11-03 |
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| 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 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| 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.