LAME DEER HEALTH CENTER (NPI# 1669508768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669508768 |
| Entity Type | Organization |
| Organization Name | LAME DEER HEALTH CENTER |
| Practice Address |
100 Cheyenne Ave Lame Deer MT 59043 |
| Mailing Address |
100 Cheyenne Ave Po Box 70 Lame Deer MT 59043 |
| Practice Telephone | 4064774448 |
| Practice Fax Number | 4064774427 |
| Mailing Telephone | 4064774448 |
| Mailing Fax Number | 4064774427 |
| Enumeration Date | 2007-02-26 |
| 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 |
|---|---|---|---|
| NCPDP NUMBER | 2705549 | 01 | |
| PHARMACY DEA NUMBER | AS6355475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881031862 | Lame Deer Health Center | Clinic/Center | 100 Cheyenne Avenue, Lame Deer, MT 59043-9043 | 2013-05-30 |
| Street Address |
100 CHEYENNE AVE |
| City | LAME DEER |
| State | MT |
| Zip Code | 59043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835811 | Tara Lynn Salley | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2006-11-08 |
| 1659884641 | Vonnda Jade Lei | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-11-13 |
| 1144730078 | Kristen Niederklein | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-10-05 |
| 1730621764 | Thomas E Flis | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-11-08 |
| 1346798840 | Kayla Sue Mckinney | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-09-14 |
| 1407221708 | Luke James Altenhofen | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2015-12-11 |
| 1427424803 | Janet Wolfname | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0000 | 2015-08-19 |
| 1922418508 | Charlene Healy | Licensed Practical Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-05-05 |
| 1992125884 | Charles Bratsky | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-04-18 |
| 1275951980 | Nola Suzanne Cowle | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700570 | Jamie Behles | Registered Nurse | 100 N Cheyenne Ave, Lame Deer, MT 59043 | 2019-10-01 |
| 1144725516 | Tamara Roundstone | Registered Nurse | 100 Eaglefeathers Street, Lame Deer, MT 59043 | 2018-03-28 |
| 1336556786 | Brenda Hamilton | Social Worker | 420 North Cheyenne Ave, Lame Deer, MT 59043 | 2014-07-17 |
| 1972857308 | Rosalie Birdwoman | Counselor | 100 Eagle Feather St., Lame Deer, Montana, Lame Deer, MT 59043 | 2012-11-07 |
| 1184978595 | Ben L Armentrout | Counselor | 100 Eagle Feather Street, Lame Deer, MT 59043 | 2012-11-07 |
| 1568716090 | Northern Cheyenne Tribe | Counselor | 420 North Cheyenne Avenue, Lame Deer Health Center - Behavior Health, Lame Deer, MT 59043 | 2012-11-06 |
| 1710231352 | John Duane Burns Sr. | Counselor | 100 Eagle Feathers Drive, Lame Deer, MT 59043 | 2012-11-05 |
| 1124292677 | Robin Joy Lipke | Psychologist | Northern Cheyenne Clinic, Highway 39, Lame Deer, MT 59043 | 2008-04-16 |
| 1306039631 | Angela Miller | Counselor | 1 Cheyenne Lane, Lame Deer, MT 59043 | 2007-08-21 |
| 1922214345 | Harold Jeanotte | Physician Assistant | 100 Avenue Cheyenne, Box 70, Lame Deer, MT 59043 | 2007-05-15 |
| Find all providers in zip 59043 | ||||
| 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 |
| 1669501649 | Lodge Grass Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Harding Ave, Lodge Grass, MT 59050 | 2007-03-05 |
| 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 |
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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.