MARIAS HEALTHCARE SERVICES INC (NPI# 1255582615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255582615 |
| Entity Type | Organization |
| Organization Name | MARIAS HEALTHCARE SERVICES INC |
| Practice Address |
422 Montana Valier MT 59486 |
| Mailing Address |
422 Montana Valier MT 59486-0554 |
| Practice Telephone | 4064343116 |
| Practice Fax Number | 4064343143 |
| Mailing Telephone | 4064343100 |
| Mailing Fax Number | 4064343143 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | JAMIE F BROWNELL (CEO) |
| Authorized Official Telephone | 4064343110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
271827 | MT | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
MT | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
271826 | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 422 Montana, Valier, MT 59486 | 4064343116 | 4064343143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1245481159 | Marias Healthcare Services Inc | Clinic/Center | 13 1st St S, Sunburst, MT 59474-1663 | 2008-10-09 |
| 1932762515 | Marias Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 670 Park Ave, Shelby, MT 59474-1663 | 2019-04-18 |
| 1881697209 | Marias Healthcare Services Inc | Clinic/Center | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARIAS HEALTHCARE SERVICES INC | 670 Park Ave, Shelby, MT 59474-1663 |
| Street Address |
422 MONTANA |
| City | VALIER |
| State | MT |
| Zip Code | 59486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629091152 | Mary Barron Woldstad | Counselor | 422 Montana, Valier, MT 59486 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295953297 | Pamela Jean Mcfarland | Counselor | 424 Montana St, Suite C, Valier, MT 59486-0302 | 2007-04-23 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
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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.