Healthcare Provider Details

I. General information

NPI: 1972694602
Provider Name (Legal Business Name): US HEALTH DEPT OF HEALTH & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 12/21/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 H STREET EAST
POPLAR MT
59255
US

IV. Provider business mailing address

PO BOX 67
POPLAR MT
59255-0067
US

V. Phone/Fax

Practice location:
  • Phone: 406-768-3491
  • Fax: 406-768-3491
Mailing address:
  • Phone: 406-768-3491
  • Fax: 406-768-3603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE SPOTTED BIRD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 406-768-3491