| Organization Name: | INDIAN HEALTH SERVICE |
| NPI Number: | 1033313879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOMMY MELKUS (DIAGNOSTIC SONOGRAPHER RADIOGRAPHER) |
| Mailing Address: | 1030 Blue Sage Ct Hardin |
| State: | MT US |
| Postal Code: | 590342257 |
| Phone Number: | 4064774493 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | 108936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |