Healthcare Provider Details

I. General information

NPI: 1053487991
Provider Name (Legal Business Name): US DEPT OF HHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHEYENNE AVE
LAME DEER MT
59043
US

IV. Provider business mailing address

P.O. BOX 70
LAME DEER MT
59043
US

V. Phone/Fax

Practice location:
  • Phone: 406-477-4400
  • Fax: 406-477-4427
Mailing address:
  • Phone: 406-477-4400
  • Fax: 406-477-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DEBBY D BENDS
Title or Position: SERVICE UNIT DIRECTOR
Credential:
Phone: 406-477-4410