SIDNEY HEALTH CENTER (NPI# 1174537179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174537179 |
| Entity Type | Organization |
| Organization Name | SIDNEY HEALTH CENTER |
| Other Organization Name | MONDAK PHARMACY |
| Practice Address |
304 South Ellery Ave. Fairview MT 59221 |
| Practice Telephone | 4067425222 |
| Practice Fax Number | 4067425263 |
| Mailing Telephone | 4067425222 |
| Mailing Fax Number | 4067425263 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LYNN WAYNE BEYERLE (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4067425222 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
813 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1509040 | 05 |
| Other Name | Type Code |
|---|---|
| Mondak Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| 1073695680 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 S Central Ave, Sidney, MT 59270-4126 | 2006-10-20 |
| 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 SOUTH ELLERY AVE. |
| 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 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1639714397 | Tucker Pharmacy, LLC | Pharmacy | 2415 Fairview Blvd, Fairview, TN 37062-9078 | 2019-11-16 |
| 1508144221 | Freds Stores of Tennessee Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2011-07-29 |
| 1730293721 | Fairview Pharmacy Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| 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.