Healthcare Provider Details

I. General information

NPI: 1396766903
Provider Name (Legal Business Name): NORTHEAST MONTANA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date: 05/16/2018
Reactivation Date: 06/11/2018

III. Provider practice location address

211 H. ST. EAST
POPLAR MT
59255-0038
US

IV. Provider business mailing address

211 H ST
POPLAR MT
59255-9519
US

V. Phone/Fax

Practice location:
  • Phone: 406-768-6100
  • Fax: 406-768-6160
Mailing address:
  • Phone: 406-768-6100
  • Fax: 406-768-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: ROGER FISHER
Title or Position: CEO
Credential:
Phone: 406-478-6071