CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION (NPI# 1962020461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962020461 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION |
| Practice Address |
#5 Fourth Ave East Polson MT 59860-2117 |
| Mailing Address |
Po Box 880 Saint Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Mailing Telephone | 4067453525 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 7097623 | 05 |
| Other Name | Type Code |
|---|---|
| CSKT Polson Tribal Health Center | 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 |
| 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 |
| 1669502316 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Pharmacy | 35401 Mission Drive, Saint Ignatius, MT 59865 | 2007-03-06 |
| Street Address |
#5 FOURTH AVE EAST |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| 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 |
| 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 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 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.