LODGE GRASS HEALTH CENTER PHARMACY
NPI 1669501649
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Lodge Grass, MT

Active since March 05, 2007CLIA 27D0665246 · Accreditation
HARDING AVE, LODGE GRASS, MT 59050(406) 639-2317(406) 639-2976 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Lodge Grass Health Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LODGE GRASS HEALTH CENTER PHARMACY (NPI 1669501649) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Lodge Grass, Montana and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through May 13, 2027 and lists Cynthia Larsen, Area Business Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669501649
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameLODGE GRASS HEALTH CENTER PHARMACY
Location AddressHARDING AVELodge Grass, MT 59050
Mailing AddressHarding Ave, Po Box 780Lodge Grass, MT 59050 · (406) 639-2317 · Fax (406) 639-2976
Fax(406) 639-2976
Organization SubpartNo
Authorized OfficialCynthia LarsenArea Business Office Coordinator · (406) 247-7184
Enumeration DateMarch 5, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1669501649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332800000X
Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

HARDING AVE, Lodge Grass, MT 59050

Other Identifiers 2

Other2762955Ncpdp Number
Medicaid2210085MT

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 27D0665246

Lodge Grass Health Center · Lodge Grass, MT
Active · expires May 13, 2027
CLIA Number27D0665246
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDanielle B. Tofte
Laboratory Phone(406) 259-9813
Laboratory LocationLodge Grass Health CenterHarding Street, Lodge Grass, MT 59050
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
HARDING AVE, LODGE GRASS HEALTH CENTER
LODGE GRASS, MT 59050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669501649, enumerated as an "organization" on March 05, 2007.

The provider is located at HARDING AVE LODGE GRASS, MT 59050 and the phone number is (406) 639-2317.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter from. Please consult your insurance carrier or call the provider to verify.