Provider Demographics
NPI:1598867848
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:HEART BUTTE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SERVICE UNIT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-338-6151
Mailing Address - Street 1:81 DISNEY STREET
Mailing Address - Street 2:
Mailing Address - City:HEART BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59448
Mailing Address - Country:US
Mailing Address - Phone:406-338-6151
Mailing Address - Fax:
Practice Address - Street 1:81 DISNEY STREET
Practice Address - Street 2:
Practice Address - City:HEART BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59448
Practice Address - Country:US
Practice Address - Phone:406-338-6151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTHSZ049Medicare PIN