FORT BERTHOLD IHS HEALTH CENTER PHARMACY (NPI# 1851428288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851428288 |
| Entity Type | Organization |
| Organization Name | FORT BERTHOLD IHS HEALTH CENTER PHARMACY |
| Other Organization Name | MINNIE-TOHE HEALTH CENTER |
| Practice Address |
1 Minni Tohe Dr New Town ND 58763-4400 |
| Mailing Address |
1 Minni Tohe Dr Po Box 400 New Town ND 58763-4400 |
| Practice Telephone | 7016274701 |
| Practice Fax Number | 7016274318 |
| Mailing Telephone | 7016274701 |
| Mailing Fax Number | 7016274318 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL FORMAN (IHS AREA PHARMACY CONSULTANT) |
| Authorized Official Telephone | 6052267212 |
| Authorized Official Credential | PHARM.D. |
| 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 |
|---|---|---|---|
| ND | 1068MI | 05 | |
| PHARMACY DEA NUMBER | AU6063882 | 01 | |
| NCPDP NUMBER | 3503845 | 01 |
| Other Name | Type Code |
|---|---|
| Minnie-Tohe Health Center | Other Name - Individual/Organization |
| Street Address |
1 MINNI TOHE DR |
| City | NEW TOWN |
| State | ND |
| Zip Code | 58763-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724316 | Arne Leroy Sorenson | Dietitian, Registered | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2006-01-10 |
| 1003261884 | Mha Nation Home Health Care | Registered Nurse | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2016-04-28 |
| 1366755068 | Ramona Marie Danks | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2010-07-22 |
| 1790942035 | Three Affiliated Tribes | Clinic/Center | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-05-22 |
| 1184890162 | Donna Bieri | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-04-30 |
| 1861668840 | Wayne H Marmon | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-04-30 |
| 1609062595 | Lois E Zacher | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-09-24 |
| 1649308503 | Suzie F Mesteth | Registered Nurse | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-03-01 |
| 1326176587 | Lawrence Kent Ray | Dentist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-03-01 |
| 1114064052 | Corey Dean Arcelay | Internal Medicine | 1 Minni Tohe Dr, Minne Tohe Health Center, New Town, ND 58763-4400 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332337 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 709 E Eagel Dr, New Town, ND 58763 | 2017-12-26 |
| 1225437460 | New Town Health Support Corporation | Assisted Living Facility | 603 1st Street Nw, New Town, ND 58763 | 2014-08-13 |
| 1992099477 | Debbie Joyce Jeanotte | Registered Nurse | 1 Minne-tohe Drive, Minne-tohe Health Center, New Town, ND 58763 | 2011-06-02 |
| 1831365519 | Elbowoods Memorial Health Center | Clinic/Center | 1058 College Drive, New Town, ND 58763 | 2008-05-02 |
| 1467622704 | Tri City Cares, Inc. | PACE Provider Organization | 709 E Eagle Dr, New Town, ND 58763 | 2008-03-03 |
| 1417028978 | Nora M Rasmussen | Nurse Practitioner | 604 1st St N, New Town, ND 58763 | 2006-11-13 |
| 1184133779 | John William Pemberton | Pharmacist | 1058 College Dr, New Town, ND 58763 | 2017-09-26 |
| 1194249417 | Cianna Marie Rabbithead | Counselor | 1058 College Drive, New Town, ND 58763 | 2017-07-28 |
| 1619423308 | Ty Thompson | Counselor | 304 7th St N, New Town, ND 58763 | 2016-09-01 |
| 1508051483 | Traci Weaver | Pharmacy Technician | 334 Main Street, New Town, ND 58763 | 2007-09-13 |
| Find all providers in zip 58763 | ||||
| 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 |
|---|---|---|---|---|
| 1467611970 | Elbowoods Memorial Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1058 College Dr, New Town, ND 58763-9112 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613325 | Fort Yates Indian Hosp Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1010 N River Rd, Fort Yates, ND 58538 | 2007-03-06 |
| 1790811503 | Belcourt Ihs Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1st Main St Highway 5, Belcourt, ND 58316 | 2007-02-26 |
| 1124284914 | Three Affiliated Tribes White Shield Healthcare Telepharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Main Street B, Roseglen, ND 58775 | 2008-08-01 |
| 1811153505 | Three Affiliated Tribes Twin Buttes Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-08-01 |
| 1801052592 | Three Affiliated Tribes Parshall Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 3rd St Se, Parshall, ND 58770 | 2008-08-01 |
| 1063678779 | Three Affiliated Tribes Manadree Health Care Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 305 Main Street, Mandaree, ND 58757 | 2008-08-01 |
| 1689895427 | Trenton Community Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 331 4th Ave E, Hwy 1804, Trenton, ND 58853-9998 | 2007-05-01 |
| 1568592137 | Spirit Lake Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2007-03-06 |
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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.