NORTHERN MONTANA HOSPITAL (NPI# 1740253525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740253525 |
| Entity Type | Organization |
| Organization Name | NORTHERN MONTANA HOSPITAL |
| Other Organization Name | NORTHERN MONTANA HOSPITAL PHARMACY |
| Practice Address |
30 13th St Havre MT 59501-5222 |
| Mailing Address |
Po Box 1231 Havre MT 59501-1231 |
| Practice Telephone | 4062621302 |
| Practice Fax Number | 4062651651 |
| Mailing Telephone | 4062621302 |
| Mailing Fax Number | 4062651651 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2010-02-13 |
| Authorized Official Name | MR. DAVID C HENRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 4062621302 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN MONTANA HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
340 | MT | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
340 | MT | Suppliers |
| Y | 333600000X | Pharmacy | 340 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NCPDP | 2702808 | 01 |
| Other Name | Type Code |
|---|---|
| Northern Montana Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213121 | Northern Montana Hospital | Assisted Living Facility | 24 13th St, Havre, MT 59501-5222 | 2006-02-10 |
| 1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
| 1134307010 | Northern Montana Hospital | Clinic/Center | 124 13th St, Havre, MT 59501-5223 | 2008-02-04 |
| 1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
| 1619156775 | Northern Montana Hospital | Clinic/Center | 30 13th St, Havre, MT 59501-5222 | 2007-10-25 |
| 1528281110 | Northern Montana Hospital | Home Health | 30 13th St, Havre, MT 59501-5222 | 2007-04-11 |
| 1396896361 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| 1679624746 | Northern Montana Hospital | Clinic/Center | 115 4th Ave W, Havre, MT 59501-3456 | 2007-01-16 |
| 1023169190 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| 1932250909 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MONTANA HOSPITAL | 30 13th St, Havre, MT 59501-5222 |
| Street Address |
30 13TH ST |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
| 1336702703 | Courtney Lee Funderburk | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2019-04-20 |
| 1164996948 | Ryan J Blackwell | Physician Assistant | 30 13th St, Havre, MT 59501 | 2019-01-15 |
| 1841746856 | Molly Salmond | Radiology Practitioner Assistant | 30 13th St, Havre, MT 59501-5222 | 2016-08-30 |
| 1538530027 | Julie Dellerba | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2015-10-09 |
| 1962879809 | Daniel Henry Sorensen | Physician Assistant | 30 13th St, Havre, MT 59501-5222 | 2015-08-26 |
| 1003241472 | Hillary Jean Riggin | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2013-09-04 |
| 1902127970 | Susan M Marion | Pathology | 30 13th St, Havre, MT 59501-5222 | 2010-06-14 |
| 1902072333 | Tessa Nichole Roberts | Nutritionist | 30 13th St, Havre, MT 59501-5222 | 2008-05-06 |
| 1619156775 | Northern Montana Hospital | Clinic/Center | 30 13th St, Havre, MT 59501-5222 | 2007-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497151971 | Bullhook Community Health Center Pharmacy | Pharmacy | 521 4th St, Havre, MT 59501-3649 | 2014-11-12 |
| 1356314132 | Northern Montana Hospital | Pharmacy | 20 13th St W, Havre, MT 59501-5215 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935310 | Sykes Pharmacy Columbia Falls Inc | Pharmacy | 500 12th Ave W Ste 1a, Columbia Falls, MT 59912-3818 | 2020-09-04 |
| 1104378439 | Shields LLC | Pharmacy | 1315 Wyoming St Ste A, Missoula, MT 59801-1725 | 2016-11-03 |
| 1639625064 | Shopko Stores Operating Co LLC | Pharmacy | 1001 N Center Ave, Hardin, MT 59034-1101 | 2016-08-26 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1164809778 | Credena Health LLC | Pharmacy | 50331a Us Highway 93, Polson, MT 59860-7046 | 2015-05-04 |
| 1528469566 | Hearing Aid Institute of Missoula | Pharmacy | 705 S. Reserve St., #b, Missoula, MT 59801 | 2014-09-09 |
| 1962823054 | Vendor Pro Corporation | Pharmacy | 1627 W Main St., Suite 446, Bozeman, MT 59715-4011 | 2013-12-17 |
| 1073853941 | Vans Iga of Dillon Inc | Pharmacy | 110 Southside Blvd, Dillon, MT 59725-3536 | 2013-02-28 |
| 1477850931 | Lakeside Pharmacy LLC | Pharmacy | 7100 Hwy 93 South, Suite A, Lakeside, MT 59922 | 2011-02-18 |
| 1790002566 | Big Sandy Pharmacy Inc | Pharmacy | 158 Johannes Ave, Big Sandy, MT 59520 | 2010-05-03 |
| 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.