FORT PECK TRIBES NPI 1609020080

NPI Information

NPI: 1609020080
Provider Name: FORT PECK TRIBES

Doing Business As: FORT PECK TRIBAL HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
107 H ST
POPLAR, MT
ZIP 59255
Phone: (406) 768-2200
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FORT PECK TRIBES is a federally qualified health center (fqhc) clinic center in Poplar, MT. FORT PECK TRIBES NPI is 1609020080. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Peck Tribal Health.

The provider's business location address is:

107 H ST
POPLAR, MT
ZIP 59255-817
Phone: (406) 768-2200
Fax: (406) 768-5780

The provider's authorized official is Dennis Ervin Four Bear .
The authorized official title is Tribal Health Director and has the following contact phone number (406) 768-2200.

The CLIA number assigned to this NPI record is 27D2252786 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	343900000X	Non-emergency Medical Transport (VAN)		G31-0030P	MONTANA	No
3	344600000X	Taxi				No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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