MCCONE COUNTY HEALTH CENTER INC (NPI# 1881234185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881234185 |
Entity Type | Organization |
Organization Name | MCCONE COUNTY HEALTH CENTER INC |
Practice Address |
605 Sullivan Ave Circle MT 59215-7514 |
Mailing Address |
Po Box 278 Circle MT 59215-0278 |
Practice Telephone | 4064852063 |
Mailing Telephone | 4064852063 |
Mailing Fax Number | 4064852435 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |
Authorized Official Name | JACQUE GARDNER (OFFICE MANAGER) |
Authorized Official Telephone | 4064853381 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
McCone Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740464916 | Mccone County Health Center Inc | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215-0278 | 2007-12-24 |
Street Address |
605 SULLIVAN AVE |
City | CIRCLE |
State | MT |
Zip Code | 59215-7514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467415273 | Nicole M Schwensow | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215-7514 | 2006-04-11 |
1134554835 | Sue Good-brown | Registered Nurse | 605 Sullivan Ave, Circle, MT 59215-0047 | 2013-09-12 |
1114157823 | Shayna Phalen | Physical Therapist | 605 Sullivan Ave, Circle, MT 59215 | 2009-07-16 |
1770756439 | County of Mccone | Public Health or Welfare | 605 Sullivan Ave, Circle, MT 59215-0047 | 2008-04-02 |
1740464916 | Mccone County Health Center Inc | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215-0278 | 2007-12-24 |
1396863965 | Patricia Wittkopp | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790803369 | Mccone County Health Center, Inc. | General Acute Care Hospital | 605 Sullivan Avenue, Circle, MT 59215 | 2007-03-26 |
1902405954 | County of Mccone School District #1 | Local Education Agency (LEA) | 1105 F Ave, Circle, MT 59215-0000 | 2020-10-21 |
1356679732 | Taylor D Spines Family Wellness Chiropractic Pllc | Chiropractor | 200 Highway 2 East, Suite C, Wolf Point, MT 59215-0462 | 2009-11-24 |
1073706321 | Redwater Valley Ambulance Service | Ambulance | 606 Sullivan Ave, Circle, MT 59215-0567 | 2007-08-21 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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.