CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD RESERVATION (NPI# 1952402208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952402208 |
Entity Type | Organization |
Organization Name | CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD RESERVATION |
Practice Address |
35401 Mission Drive Saint Ignatius MT 59865-9676 |
Mailing Address |
Po Box 278 Pablo MT 59855-0278 |
Practice Telephone | 4067453525 |
Practice Fax Number | 4067454721 |
Mailing Telephone | 4066752700 |
Mailing Fax Number | 4062752806 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-07-09 |
Authorized Official Name | MR. JOSEPH DURGLO (CHAIRMAN) |
Authorized Official Telephone | 4066752700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 2210104 | 05 | |
NCPDP | 2706438 | 01 |
Street Address |
35401 MISSION DRIVE |
City | SAINT IGNATIUS |
State | MT |
Zip Code | 59865-9676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851760615 | Jeanette K Blythe | Counselor | 35401 Mission Drive, Saint Ignatius, MT 59865-3649 | 2015-09-22 |
1669502316 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Pharmacy | 35401 Mission Drive, Saint Ignatius, MT 59865 | 2007-03-06 |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049967 | Community Health Partners Inc | Clinic/Center | 410 Triple Crown St Rm A108, Belgrade, MT 59714-3402 | 2020-10-06 |
1669081931 | Partnership Health Center Inc | Clinic/Center | 1720 Wyoming St Ste 201, Missoula, MT 59801-1526 | 2020-07-23 |
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 |
1750926762 | Partnership Health Center Inc | Clinic/Center | 901 S 6th St W, Missoula, MT 59801-3752 | 2019-11-13 |
1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
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 AND 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.