Provider Demographics
NPI:1053487991
Name:US DEPT OF HHS
Entity Type:Organization
Organization Name:US DEPT OF HHS
Other - Org Name:LAME DEER HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SERVICE UNIT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-477-4410
Mailing Address - Street 1:P.O. BOX 70
Mailing Address - Street 2:
Mailing Address - City:LAME DEER
Mailing Address - State:MT
Mailing Address - Zip Code:59043
Mailing Address - Country:US
Mailing Address - Phone:406-477-4400
Mailing Address - Fax:406-477-4427
Practice Address - Street 1:100 CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:LAME DEER
Practice Address - State:MT
Practice Address - Zip Code:59043
Practice Address - Country:US
Practice Address - Phone:406-477-4400
Practice Address - Fax:406-477-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT261Q00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTHSZ029Medicare ID - Type Unspecified