MARIAS HEALTHCARE SERVICES INC (NPI# 1932762515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932762515 |
| Entity Type | Organization |
| Organization Name | MARIAS HEALTHCARE SERVICES INC |
| Practice Address |
670 Park Ave Shelby MT 59474-1663 |
| Practice Telephone | 4064343110 |
| Mailing Telephone | 4064343110 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | JAMIE F BROWNELL (CEO) |
| Authorized Official Telephone | 4064343110 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARIAS HEALTHCARE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MONTANA PHARMACY APPLICATION | 58723 | 01 |
| MT | MONTANA LICENSE | 58925 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1245481159 | Marias Healthcare Services Inc | Clinic/Center | 13 1st St S, Sunburst, MT 59474-1663 | 2008-10-09 |
| 1255582615 | Marias Healthcare Services Inc | Clinic/Center | 422 Montana, Valier, MT 59486 | 2008-10-03 |
| 1881697209 | Marias Healthcare Services Inc | Clinic/Center | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARIAS HEALTHCARE SERVICES INC | 670 Park Ave, Shelby, MT 59474-1663 |
| Street Address |
670 PARK AVE |
| City | SHELBY |
| State | MT |
| Zip Code | 59474-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526503 | Lance Lynn Stewart | Family Medicine | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| 1700403201 | Paije E Gianarelli | Counselor | 670 Park Ave, Shelby, MT 59474-1663 | 2020-06-30 |
| 1164988093 | Jodi L Habets | Nurse Practitioner | 670 Park Ave, Shelby, MT 59474-1663 | 2019-02-15 |
| 1578088548 | Dana L Hellinger | Counselor | 670 Park Ave, Shelby, MT 59474-1663 | 2017-08-10 |
| 1477088771 | Deborah Elizabeth Treece | Counselor | 670 Park Ave, Shelby, MT 59474-1663 | 2017-04-24 |
| 1164962379 | Brooke Dager | Nurse Practitioner | 670 Park Ave, Shelby, MT 59474-1663 | 2017-03-07 |
| 1750760815 | Tracy L Richman | Midwife | 670 Park Ave, Shelby, MT 59474-1663 | 2015-05-22 |
| 1043651235 | Joni M Walton | Nurse Practitioner | 670 Park Ave, Shelby, MT 59474-1663 | 2013-07-16 |
| 1013250950 | Justin Paul Hooker | Podiatrist | 670 Park Ave, Shelby, MT 59474 | 2013-03-28 |
| 1578827424 | Heidi Lynn Hunsucker | Nurse Practitioner | 670 Park Ave, Shelby, MT 59474-1663 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361559 | Scott Allen Luly | Dentist | 50 Crossroads Drive, Shelby, MT 59474 | 2014-10-20 |
| 1598710691 | Shopko Stores Operating Co LLC | Pharmacy | 1950 Roosevelt Hwy, Shelby, MT 59474-0920 | 2006-05-24 |
| 1659877538 | Jasmine Gonzaga | Registered Nurse | 943 Teton Ave, Shelby, MT 59474-1526 | 2018-04-01 |
| 1285184200 | Kyle Ann Kelsey Spinner | Pharmacist | 1950 W Roosevelt Hwy, Shelby, MT 59474-1549 | 2016-10-13 |
| 1659368512 | Toole County | Ambulance | 825 Oilfield Ave, Shelby, MT 59474-1642 | 2005-10-05 |
| 1669646238 | Shelby School District | Local Education Agency (LEA) | 1010 Oilfield Ave, Shelby, MT 59474-1647 | 2008-04-15 |
| 1245481159 | Marias Healthcare Services Inc | Clinic/Center | 13 1st St S, Sunburst, MT 59474-1663 | 2008-10-09 |
| 1780671834 | Toole County | Home Health | 640 Park Ave, Shelby, MT 59474-1663 | 2005-10-04 |
| 1659743441 | Empres At Shelby, LLC | Skilled Nursing Facility | 630 Park Ave, Shelby, MT 59474-1663 | 2015-10-20 |
| 1942467725 | Saint Patrick Hospital and Health Sciences Center | Internal Medicine | 640 Park Ave, Shelby, MT 59474-1663 | 2008-05-20 |
| Find all providers in zip 59474 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972776573 | Shelby Drugstore, Inc. | Pharmacy | 701-1 East Grover Street, Shelby, NC 28150 | 2008-04-04 |
| 1548395825 | Shelby Drug Co Inc Hwy 61 South | Pharmacy | 1211 Broadway Hwy 61 So, Shelby, MS 38774 | 2007-02-23 |
| 1972606663 | North Carolina Cvs Pharmacy LLC | Pharmacy | 105 E College Ave, Shelby, NC 28152-9543 | 2006-09-07 |
| 1649683913 | Heather Ruhl | Pharmacy | 11 Mansfield Ave, Shelby, OH 44875-1367 | 2014-06-04 |
| 1871928325 | Ingles Markets Inc | Pharmacy | 1818 W Dixon Blvd, Shelby, NC 28152-4351 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630662 | Pharm406 Inc | Pharmacy | 1410 38th St W Ste A, Billings, MT 59102-7552 | 2020-05-16 |
| 1710521679 | Billmont Rx, LLC | Pharmacy | 1603 Grand Ave Ste 250, Billings, MT 59102-3000 | 2019-11-04 |
| 1235636689 | Daniel Patrick Doran | Pharmacy | 590 Stockett Rd, Sand Coulee, MT 59472-9745 | 2018-04-11 |
| 1477069193 | 406 Rx Pllc | Pharmacy | 117 N Main St Ste A, Three Forks, MT 59752-9013 | 2017-12-18 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1679977433 | Superior Specialty Pharmacy of Montana, LLC | Pharmacy | 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 | 2014-10-22 |
| 1134439797 | Kc Western Drug | Pharmacy | 105 E 1st, Clyde Park, MT 59018-0000 | 2010-10-18 |
| 1669795647 | Broadus Foods, Inc | Pharmacy | 120 S Park Avenue, Broadus, MT 59317-0549 | 2010-03-05 |
| 1316135940 | Rosauers Supermarkets Inc | Pharmacy | 3255 Technology Blvd W, Bozeman, MT 59718-6854 | 2007-10-09 |
| 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.