CROW INDIAN HOSPITAL PHARMACY (NPI# 1952437287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952437287 |
| Entity Type | Organization |
| Organization Name | CROW INDIAN HOSPITAL PHARMACY |
| Other Organization Name | CROW NORTHERN CHEYENNE HOSPITAL |
| Practice Address |
212 Highway and I-90 Intersection Crow Agency MT 59022 |
| Mailing Address |
Po Box 9 212 Highway and I-90 Intersection Po Crow Agency MT 59022-0009 |
| Practice Telephone | 4066383351 |
| Practice Fax Number | 4066383569 |
| Mailing Telephone | 4066383351 |
| Mailing Fax Number | 4066383569 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA LARSEN (AREA BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 4062477184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 2210051 | 05 | |
| NCPDP NUMBER | 2705513 | 01 | |
| PHARMACY DEA NUMBER | AU8988555 | 01 |
| Other Name | Type Code |
|---|---|
| Crow Northern Cheyenne Hospital | Other Name - Individual/Organization |
| Street Address |
212 HIGHWAY AND I-90 INTERSECTION |
| City | CROW AGENCY |
| State | MT |
| Zip Code | 59022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354135 | Robert He Does It | Counselor | 101 Baacheeitche Ave, Crow Agency, MT 59022 | 2018-04-30 |
| 1306334925 | Christine L. Good Luck | Counselor | 101 Baacheeitche Ave., Crow Agency, MT 59022 | 2018-04-30 |
| 1083140545 | Crow Nation Chr Health Dept. | Non-emergency Medical Transport (VAN) | 10069 South Heritage Rd, Crow Agency, MT 59022 | 2017-05-03 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1154860013 | Maria Kofas | Dietitian, Registered | South 7650 East 1010, Crow Agency, MT 59022 | 2017-02-13 |
| 1033599972 | Charles A Finley | Registered Nurse | 10110 S. 7650 E, Crow Agency, MT 59022 | 2015-06-05 |
| 1619356219 | Marjorie Sytsma | Registered Nurse | 10110 S 7650 East, Crow Agency, MT 59022 | 2015-05-28 |
| 1447536602 | Tina Joy Shutts | Registered Nurse | 10110 S Route 765 E, Crow Agency, MT 59022 | 2011-11-01 |
| 1417237108 | Barbara Jeanne O'hare | Registered Nurse | 10110s Route 765 East, Crow Agency, MT 59022 | 2011-08-25 |
| 1255633855 | Sandra Kay Montgomery | Registered Nurse | 10110 South, 7650 East, Crow Agency, MT 59022 | 2010-12-02 |
| Find all providers in zip 59022 | ||||
| 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 |
| 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 |
| 1588791594 | Wolf Point Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 550 6th Ave N, Wolf Point, MT 59201 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CROW AGENCY |
| Zip Code | 59022 |
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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.