FORT PECK TRIBAL DIALYSIS UNIT – NPI #1659483048
Clinic/Center

FORT PECK TRIBAL DIALYSIS UNIT is an AHC clinic located in POPLAR, MT. NPPES has assigned the NPI number 1659483048 to FORT PECK TRIBAL DIALYSIS UNIT on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORT PECK TRIBAL DIALYSIS UNIT” is a dba name, the actual legal business name for this organization is FORT PECK TRIBES. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 2 years ago on Dec 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT PECK TRIBAL DIALYSIS UNIT below.

NPI Profile for
FORT PECK TRIBES

NPI Number
1659483048
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT PECK TRIBES
Doing Business As (dba): FORT PECK TRIBAL DIALYSIS UNIT
Primary location
107 H ST
POPLAR, MT 59255-1027
Phone: (406) 768-5468 Fax: (406) 768-5121
Mailing address
PO BOX 1027
POPLAR, MT 59255-1027
Phone: (406) 768-5468 Fax: (406) 768-5121
Organization Subpart
No
Authorized Official
DENNIS FOUR BEAR
CEO
Phone: (406) 768-3491
Updated
Certification Date
Dec 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FORT PECK TRIBAL DIALYSIS UNIT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMT0730041
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.