LODGE GRASS HEALTH CENTER PHARMACY (NPI# 1669501649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669501649 |
| Entity Type | Organization |
| Organization Name | LODGE GRASS HEALTH CENTER PHARMACY |
| Practice Address |
Harding Ave Lodge Grass MT 59050 |
| Mailing Address |
Harding Ave Po Box 780 Lodge Grass MT 59050 |
| Practice Telephone | 4066392317 |
| Practice Fax Number | 4066392976 |
| Mailing Telephone | 4066392317 |
| Mailing Fax Number | 4066392976 |
| Enumeration Date | 2007-03-05 |
| 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 |
|---|---|---|---|
| PHARMACY DEA NUMBER | BU4083779 | 01 | |
| MT | 2210085 | 05 | |
| NCPDP NUMBER | 2762955 | 01 |
| Street Address |
HARDING AVE |
| City | LODGE GRASS |
| State | MT |
| Zip Code | 59050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467657668 | Edward Henry Arnold Jr. | Dentist | Harding Ave, Lodge Grass Health Center, Lodge Grass, MT 59050 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497008056 | Karen Whitemanrunshim | Registered Nurse | 101 John Nomee Circle, Lodge Grass, MT 59050-0186 | 2012-10-19 |
| 1750410395 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 418 Harding Street, Lodge Grass, MT 59050-0780 | 2007-03-02 |
| 1053973198 | Sarah Elizabeth Hardwick | Nurse Practitioner | 418 Harding Street, Lodge Grass, MT 59050-0780 | 2019-06-28 |
| 1083811269 | Lodge Grass School District | Local Education Agency (LEA) | 124 N George St, Lodge Grass, MT 59050-0810 | 2007-06-29 |
| 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 |
| 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 |
| 1952437287 | Crow Indian Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 Highway and I-90 Intersection, Crow Agency, MT 59022 | 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 | LODGE GRASS |
| Zip Code | 59050 |
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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.