FORT PECK ASSINIBOINE AND SIOUX TRIBES (NPI# 1760748636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760748636 |
| Entity Type | Organization |
| Organization Name | FORT PECK ASSINIBOINE AND SIOUX TRIBES |
| Other Organization Name | FORT PECK TRIBAL HEALTH |
| Practice Address |
501 Medicine Bear Road Poplar MT 59255 |
| Practice Telephone | 4067682200 |
| Mailing Telephone | 4067682200 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | JACKIE WEEKS (TRIBAL OPERATIONS OFFICER) |
| Authorized Official Telephone | 4067682300 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORT PECK ASSINBOINE AND SIOUX TRIBES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | MT | Other Service Providers | |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | MT | Transportation Services |
| Other Name | Type Code |
|---|---|
| Fort Peck Tribal Health | Doing Business As Name - Organization |
| Street Address |
501 MEDICINE BEAR ROAD |
| City | POPLAR |
| State | MT |
| Zip Code | 59255 |
| 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 | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609020080 | Fort Peck Tribal Health Department | Non-emergency Medical Transport (VAN) | 200 G Street East, Poplar, MT 59255-1027 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154896744 | Blackfeeet Transit Program | Non-emergency Medical Transport (VAN) | 200 E Hospital Road, Browning, MT 59417-0850 | 2018-10-10 |
| 1033617808 | Adam Muhonen | Non-emergency Medical Transport (VAN) | 720 10th Ave W, Kalispell, MT 59901-5239 | 2018-01-26 |
| 1083140545 | Crow Nation Chr Health Dept. | Non-emergency Medical Transport (VAN) | 10069 South Heritage Rd, Crow Agency, MT 59022 | 2017-05-03 |
| 1043765233 | Angel Care LLC | Non-emergency Medical Transport (VAN) | 901 1st Ave, Havre, MT 59501-4405 | 2016-08-17 |
| 1992044671 | Chrprogram | Non-emergency Medical Transport (VAN) | 201 1st Ave N.e., Browning, MT 59417 | 2013-01-31 |
| 1588843551 | Met Special Transit | Non-emergency Medical Transport (VAN) | 1705 Monad Rd, Billings, MT 59101-3234 | 2007-10-26 |
| 1922139153 | City of Billings | Non-emergency Medical Transport (VAN) | 1705 Monad, Billings, MT 59102-1178 | 2007-03-08 |
| 1174661649 | Medicab | Non-emergency Medical Transport (VAN) | 3301 Park St, Missoula, MT 59801-8762 | 2007-02-04 |
| 1265737878 | Met Special Transporation | Non-emergency Medical Transport (VAN) | 1705 Monad, Billings, MT 59101-3234 | 2011-01-13 |
| 1790928695 | Great Falls Emergency Services | Non-emergency Medical Transport (VAN) | 514 9th Ave S, Great Falls, MT 59405-4038 | 2009-04-08 |
| 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.