NPI Code Details Logo

NPI 1669502316

NPI 1669502316 : CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION : SAINT IGNATIUS, MT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669502316
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/06/2007
-----------------------------------------------------
    Last Update Date     |    07/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    35401 MISSION DRIVE 
-----------------------------------------------------
    City                 |    SAINT IGNATIUS
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59865
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    406-745-3525
-----------------------------------------------------
    Fax                  |    406-745-4721
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 880 
-----------------------------------------------------
    City                 |    ST IGNATIUS
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59865-0880
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHARMACY DIRECTOR
-----------------------------------------------------
    Name                 |     JESSI  CAHOON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    406-745-3525
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332800000X
-----------------------------------------------------
    Taxonomy Name        |    Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.