CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION (NPI# 1336767789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336767789 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION |
| Practice Address |
35928 Joe Mcdonald Drive Pablo MT 59855 |
| Mailing Address |
Po Box 880 Saint Ignatius MT 59865-0880 |
| Practice Telephone | 4067453525 |
| Mailing Telephone | 4067453525 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| 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 SKC Tribal Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
35928 JOE MCDONALD DRIVE |
| City | PABLO |
| State | MT |
| Zip Code | 59855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688282 | Melissa M. Main | Registered Nurse | 35959 Big Knife Ln, Pablo, MT 59855 | 2018-05-01 |
| 1033472220 | Ariel L. Gross | Physician Assistant | 35959 Big Knife Lane, Pablo, MT 59855 | 2012-06-21 |
| 1265922041 | Chelsea A. Brave Rock | Registered Nurse | 35959 Big Knife Lane, Pablo, MT 59855 | 2018-05-16 |
| 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 |
| 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 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, 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.