FORT BELKNAP HEALTH CENTER PHARMACY (NPI# 1861528192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861528192 |
| Entity Type | Organization |
| Organization Name | FORT BELKNAP HEALTH CENTER PHARMACY |
| Other Organization Name | HARLEM PHS HOSPITAL |
| Practice Address |
456 Gros Ventre Ave Rr1, Box 67 Harlem MT 59526 |
| Practice Telephone | 4063533104 |
| Practice Fax Number | 4063533266 |
| Mailing Telephone | 4063533104 |
| Mailing Fax Number | 4063533266 |
| Enumeration Date | 2007-02-23 |
| 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 | AO4625666 | 01 | |
| NCPDP NUMBER | 2705525 | 01 |
| Other Name | Type Code |
|---|---|
| Harlem PHS Hospital | Other Name - Individual/Organization |
| Street Address |
456 GROS VENTRE AVE RR1, BOX 67 |
| City | HARLEM |
| State | MT |
| Zip Code | 59526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386899524 | Sally Ann Wilhelm | Pharmacist | 456 Gros Ventre Ave, Harlem, MT 59526 | 2008-12-01 |
| 1225283328 | Jessica Lynn Gallus | Registered Nurse | 456 Gros Ventre Ave, Harlem, MT 59526 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558917385 | Karen Marie Reevis I | Counselor | 112 Arena Ave, Harlem, MT 59526 | 2019-08-16 |
| 1528614351 | Linda M Azure | Counselor | 122 Arena Ave., Harlem, MT 59526 | 2019-08-16 |
| 1770144529 | Charlie Bear IIi | Counselor | 122 Arena Ave, Harlem, MT 59526 | 2019-06-24 |
| 1629399423 | Cynthia Nicole Chennault | Dental Hygienist | 669 Agency Main Street, Harlem, MT 59526 | 2010-06-15 |
| 1194998757 | Monte A Healy | Registered Nurse | 456 Grosventre Ave, Harlem, MT 59526 | 2008-04-03 |
| 1043410285 | Harlem School District | Local Education Agency (LEA) | 610 1st Ave Se, Harlem, MT 59526 | 2007-07-24 |
| 1376749176 | Antonella Bella Lanza | Dentist | Fort Belknap Indian Community, 656 Agency Main Street, Harlem, MT 59526 | 2007-06-27 |
| 1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
| 1295943710 | Irma Faye Skunkcap | Counselor | 656 Agency Main Street, Harlem, MT 59526 | 2007-05-18 |
| 1457567679 | Bonnie Rae Lankford | Technician, Pathology | 345 Gros Ventre Ave, Harlem, MT 59526 | 2007-05-15 |
| Find all providers in zip 59526 | ||||
| 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 |
| 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 | ||||
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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.