Provider Demographics
NPI:1548393358
Name:US HEALTH DEPT OF HEALTH & HUMAN SERVICES
Entity Type:Organization
Organization Name:US HEALTH DEPT OF HEALTH & HUMAN SERVICES
Other - Org Name:CROW/NORTHERN CHEYENNE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-638-3464
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:10110 SOUTH 7650 EAST
Mailing Address - City:CROW AGENCY
Mailing Address - State:MT
Mailing Address - Zip Code:59022-0009
Mailing Address - Country:US
Mailing Address - Phone:406-638-3500
Mailing Address - Fax:406-638-3569
Practice Address - Street 1:10110 SOUTH 7650 EAST
Practice Address - Street 2:
Practice Address - City:CROW AGENCY
Practice Address - State:MT
Practice Address - Zip Code:59022-0009
Practice Address - Country:US
Practice Address - Phone:406-638-3500
Practice Address - Fax:406-638-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X, 275N00000X, 282NC0060X, 344600000X
MT282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
HSZ026Medicare PIN
271339Medicare Oscar/Certification
MT271339Medicare Oscar/Certification
MTHSZ026Medicare PIN