Provider Demographics
NPI:1174660245
Name:U S HEALTH DEPT OF HEALTH & HUMAN SERVICES
Entity Type:Organization
Organization Name:U S HEALTH DEPT OF HEALTH & HUMAN SERVICES
Other - Org Name:EAGLE CHILD HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-353-3191
Mailing Address - Street 1:123 WHITECOW CANYON RD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:MT
Mailing Address - Zip Code:59527-0620
Mailing Address - Country:US
Mailing Address - Phone:406-673-3777
Mailing Address - Fax:
Practice Address - Street 1:453 PINE GROVE ROAD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:MT
Practice Address - Zip Code:59527-0620
Practice Address - Country:US
Practice Address - Phone:406-673-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT271315Medicare Oscar/Certification
MTHSZ065Medicare PIN