MT CSI Advisory Memorandum of 2010-01-06

All Farm Mutual Insurance Forms Subject to Filing and Prior Approval

Year: 2010Length: 4,724 wordsOfficial source
Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Arlee Health Station Arlee Village Arlee MT 59821 LAKE FQHC Contact: (406) 726-3225 Indian Health Contact: (406) 726-3224 ASHLAND COMMUNITY HEALTH CENTER 501 MAIN STREET ASHLAND MT 59003 ROSEBUD Kaaren Rizor; (406) 784-2346 ; Ext: 109 ASHLAND COMMUNITY HEALTH CENTER 502 POPLAR DRIVE COLSTRIP MT 59323 ROSEBUD Kaaren Rizor; (406) 784-2346 ; Ext: 109 BARRETT MEMORIAL HOSPITAL 90 HWY 91 S DILLON MT 59725 BEAVERHEAD BEARTOOTH BILLINGS CLINIC 2525 N BROADWAY RED LODGE MT 59068 CARBON BEARTOOTH BLGS/CARBON CTY 2525 NORTH BROADWAY RED LODGE MT 59068 CARBON ROBERTA CADY (406) 446-9941 cadyr@beartoothbillingscli nic.org BEAVERHEAD CTY HLTH DEPT 41 BARRETT ST DILLON MT 59725 BEAVERHEAD SUE HANSEN (406) 683-4771 shansen@beaverheadcoun ty.org Beaverhead Family Planning 41 Barrett St Dillon MT 59725 BEAVERHEAD Contact: Jamie Paul; (406) 683-4771 BENEFIS HOSPITALS INC 1101 26TH ST S GREAT FALLS MT 59405 CASCADE BIG HORN CO MEMORIAL HOSPITAL 17 N MILES HARDIN MT 59034 BIG HORN BIG HORN CTY HLTH DEPT 809 NORTH CUSTER AVE HARDIN MT 59034 BIG HORN ESTHER WYNNE (406) 665-8720 ewynne@co.bighorn.mt.us Big Horn Valley Health Center 10 West 4th Street Hardin MT 59034 BIG HORN FQHC Contact: David Mark, (406) 665-4103 BIG SANDY MEDICAL CENTER 166 MONTANA AVE E BIG SANDY MT 59520 CHOUTEAU BLAINE CTY HLTH DEPT 420 A OHIO COURTHOUSE ANNEX CHINOOK MT 59523 BLAINE FRANCES HODGSON (406) 357-2345 fhodgson@co.blaine.mt.go v BOZEMAN DEACONESS HOSPITAL 915 HIGHLAND BLVD BOZEMAN MT 59715 GALLATIN bridgercare 300 N Willson St SUITE 2001 Bozeman MT 59715 GALLATIN Contact: Mari Dominguez; (406) 587-0681 MARY DOMINGUEZ; DIRECTOR; (406) 587-0681 BROADWATER CTY HLTH DEPT 124 N CEDAR TOWNSEND MT 59644 BROADWATER LINDA CAMPBELL (406) 266-5209 licampbell@mt.gov BROADWATER HEALTH CENTER 110 N OAK ST TOWNSEND MT 59644 BROADWATER BROWNING IHS 760 HOSPITAL WAY BROWNING MT 59417 GLACIER JUANITA KITTSON (406) 338-6240 juanita.kittson@ihs.gov Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Bullhook Community Health Center, Inc 110 13th St Havre MT 59501 HILL FQHC Contact: Cynthia Smith; (406) 265-4541 Bullhook Community Health Center, Inc 220 3rd Ave Havre MT 59501 HILL FQHC Contact: Cynthia Smith; (406) 265-4541 Butte CHC Pharmacy 1145 S. Montana St. Butte MT 59701 SILVER BOW FQHC Contact: Jessica Hoff; (406) 496-6003 Butte Family Planning 25 W Front St Butte MT 59701 SILVER BOW Contact: Jamie Paul; (406) 497-5080 JAMIE PAUL; DIRECTOR FAMILY PLANNING; BUTTE/SILVERBOW CTY HLTH 25 WEST FRONT ST BUTTE MT 59701 SILVER BOW HELEN MCCLOSKEY (406) 497-5082 hmccloskey@bsb.mt.gov BUTTE-SILVER BOW PRI. HLTH. C. CLN. 307 E Park Street Anaconda MT 59711 DEER LODGE FQHC Contact: Cindy Stergar; (406) 496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. Montana Butte MT 59701 SILVER BOW FQHC Contact: Cindy Stergar; (406) 496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. 1204 E 2nd St Butte MT 59701 SILVER BOW FQHC Contact: Cindy Stergar; (406) 496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. 304 N Main St Butte MT 59701 SILVER BOW FQHC Contact: Cindy Stergar; (406) 496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. 445 Centennial Ave Butte MT 59701 SILVER BOW FQHC Contact: Cindy Stergar; (406) 496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. 41 Barrett Street Dillon 59725 BEAVERHEAD FQHC Contact: Jessica Hoff, 406-496-6003 BUTTE-SILVER BOW PRI. HLTH. C. CLN. 317 Madison St Sheridan MT 59749 MADISON FQHC Contact: Cindy Stergar; (406) 496-6003 CASCADE CITY-COUNTY HEALTH DEPARTMENT 115 4th Street South Great Falls MT 59401 CASCADE FQHC Contact: Alicia Thompson; (406) 791-9260 Ryan White Contact: (406) 791-9274 TRIXIE SMITH; Supervisor; (406) 454-6950 CASCADE CTY HLTH DEPT 115 4TH STREET S GREAT FALLS MT 59401 CASCADE TRIXIE SMITH (406) 454-6950 tsmith@cascadecountymt. gov Central Montana Community Health Center 406 1st Ave S Lewistown MT 59457 FERGUS FQHC Contact: Leslie Lewis; (406) 535-6545 Central Montana Community Health Center 94 Central Stanford MT 59479 JUDITH BASIN FQHC Contact: Leslie Lewis; (406) 535-6545 Central Montana Family Planning 505 W. MAIN ST Lewistown MT 59457 FERGUS Contact: Sue Irvin; (406) 538-8811 SUE IRVIN; DIRECTOR; (406) 535-8811 CENTRAL MONTANA MEDICAL CENTER 408 WENDELL AVE LEWISTOW N MT 59457 FERGUS CENTRAL MT HEALTH DISTRICT 120 WUNDERLIN STREET SUITE 1 LEWISTOW N MT 59457 FERGUS SUE WOODS (406) 535-3983 phn@co.fergus.mt.us Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 CHIEF REDSTONE IHS CENTER 550 6TH AVE N WOLF POINT MT 59201 ROOSEVELT TOMINA KINZIE (406) 653-1641 tomina.kinzie@ihs.gov Choteau County Public Health Departmentt 1020 13th Street Fort Benton MT 59442 CHOUTEAU Angel Johnson; 406-622- 3771 CHOUTEAU CTY HLTH DEPT 1020 13TH STREET FORT BENTON MT 59442 CHOUTEAU ANGELICA JOHNSON (406) 622-3771 angjohnson@mt.gov CLARK FORK VALLEY HOSPITAL 10 KRUGER RD PLAINS MT 59859 SANDERS Columbia Falls Family Planning 123 6 St W Columbia Falls MT 59912 FLATHEAD Contact: Wendy Doely; (406) 751-8150 COMMUNITY HEALTH PARTNERS, INC. 19 E Main St Belgrade MT 59714 GALLATIN FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HEALTH PARTNERS, INC. 214 E Mendenhall St Bozeman MT 59715 GALLATIN FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HEALTH PARTNERS, INC. 120 N 19TH AVE BOZEMAN MT 59718 GALLATIN FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HEALTH PARTNERS, INC. 126 S Main St Livingston MT 59047 PARK FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HEALTH PARTNERS, INC. 414 E Callender St Livingston MT 59047 PARK FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HEALTH PARTNERS, INC. 11 S. Electric Street West Yellowstone MT 59758 GALLATIN FQHC Contact: Lander Cooney; (406) 823-6316 COMMUNITY HOSPITAL OF ANACONDA 401 W PENNSYLVANIA ANACONDA MT 59711 DEER LODGE COMMUNITY MEDICAL CENTER INC 2827 FORT MISSOULA RD MISSOULA MT 59804 MISSOULA Confederated Salish & Kootenai Tribes P.O. Box 278 Pablo MT 59855 LAKE E.T. "Bud" Moran; Chairman; 406-675-2700 Contact: E.T. "Bud" Moran; Chairman; CROW AGENCY IHS 1010 S 7650 E CROW AGENCY MT 59022 BIG HORN NANCY HODSON (406) 638-3478 nancy.hodson@ihs.gov Crystal Creek Lodge PO Box 450 Browning MT 59417 GLACIER FQHC Contact: 877-338-3784 Indian Health Contact: 877-338-3784 Custer County Community Health Center, Inc 210 S Winchester Ave Miles City MT 59301 CUSTER FQHC Contact: Sharon Wilcox; (406) 234-8793 CUSTER COUNTY FAMILY PLAN 2000 Clark Street MILES CITY MT 59301 CUSTER Contact: Wendy Richards; (406) 874-3377 WENDY RICHARDS; Director; (406) 874-3440 CUSTER CTY HLTH DEPT 2000 CLARK STREET MILES CITY MT 59301 CUSTER WENDY RICHARDS (406) 874-3377 w.richards@co.custer.mt.u s Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 DAHL MEM. CLINIC CARTER 221 SANDY STREET EKALAKA MT 59324 CARTER MARION KERR LPN (406) 775-6332 mkerr@midrivers.com DAHL MEMORIAL HEALTHCARE ASSOC 215 SANDY ST EKALAKA MT 59324 CARTER DANIELS CTY HLTH DEPT 105 FIFTH AVE EAST SCOBEY MT 59263 DANIELS LOIS LEIBRAND (406) 487-2296 dmhh@nemont.net DANIELS MEMORIAL HOSPITAL 105 5TH AVE E SCOBEY MT 59263 DANIELS Dawson County Family Planning 207 W Bell St GLENDIVE MT 59330 DAWSON Contact: Jeanne Seifert; (406) 377-2935 TIMBER DEMPEWOLF; Family Planning DAWSON CTY HLTH DEPT 207 W BELL ST GLENDIVE MT 59330 DAWSON JEANNE SEIFERT (406) 377-5213 seifertj@dawsoncountyma il.com Deer Lodge County Family Planning 115 W Commerical Anaconda MT 59711 DEER LODGE Contact: Jamie Paul; (406) 563-7863 DEER LODGE CTY HLTH DEPT 115 W COMMERCIAL AVE ANACONDA MT 59711 DEER LODGE HEIDI NIELSEN (406) 563-7863 adlcph2@rfwave.net EAGLE CHILD IHS CENTER 123 WHITE COW CANYON RD HAYS MT 59527 BLAINE SAMANTHA ALLEN (406) 673-3777 samantha.allen@ihs.gov Elmo Health Station Elmo Village Elmo MT 59915 LAKE FQHC Contact: (406) 849-5799 Indian Health Contact: (406) 849-5798 Fallon County Family Planning 205 S 4 St W Baker MT 59313 FALLON Contact: Jeanne Seifert; (406) 778-2824 FALLON CTY HLTH DEPT 225 SOUTH THIRD ST WEST BAKER MT 59313 FALLON MISTI BREITBACH (406) 778-2824 fchd2@midrivers.com FALLON MEDICAL COMPLEX HOSPITAL 202 S 4TH ST W BAKER MT 59313 FALLON FERGUS CTY HLTH DEPT 712 WEST MAIN STREET STE 102 LEWISTOW N MT 59457 FERGUS CARRI CRAIG (406) 535-7433 ccraig@co.fergus.mt.us FLATHEAD CITY COUNTY FAMILY PLANNING 1035 FIRST AVENUE WEST KALISPELL MT 59901 FLATHEAD WENDY A. DOELY; DIRECTOR; (406) 751-8155 Flathead City-County Health Department 723 5th Ave. East Kalispell MT 59901 FLATHEAD Ryan White Contact: (406) 751-8154 Flathead Co. Family Planning 1035 1st Ave. West Kalispell MT 59901 FLATHEAD FQHC Contact: Anna McCracken; (406) 751-8114 Family Planning Contact: (406) 751-8114 STD Contact: Linda Bodick 406-751-8156 Flathead Community Health Center 1035 1st Ave West Kalispell MT 59901 FLATHEAD FQHC Contact: Laura Gambino (Interim CEO), 406-751-8254 FCCDH 406-751- 8109 FLATHEAD CTY HLTH DEPT 1035 FIRST AVE WEST KALISPELL MT 59901 FLATHEAD KRISTA ANDREWS (406) 751-8110 kandrews@flathead.mt.go v Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Flathead Tribal Health Center P.O. Box 880 308 Mission Dr. Saint Ignatius MT 59865 LAKE Kevin Howlett; Director; 406-745-3525 Contact: Kevin Howlett; Director; FORT BELKNAP IHS 669 AGENCY MAIN ST HARLEM MT 59526 BLAINE CINDY LAMERE (406) 353-3267 cindy.lamere@ihs.gov FRANCES MAHON DEACONESS HOSPITAL 621 3RD ST S GLASGOW MT 59230 VALLEY FT PECK SCHOOL CLINIC 417 13TH AVE NE POPLAR MT 59255 ROOSEVELT CLARICE SMOKER (406) 768-3052 clarice.bauer9@gmail.com GALLATIN CTY HLTH DEPT 215 W MENDENHALL RM 117 BOZEMAN MT 59715 GALLATIN TAMI CAVANAUGH (406) 582-3109 tami.cavanaugh@gallatin. mt.gov GARFIELD COUNTY HEALTH CENTER 332 LEAVITT AVE JORDAN MT 59337 GARFIELD GARFIELD CTY HLTH DEPT 332 LEAVITT AVENUE JORDAN MT 59337 GARFIELD MEGA MCDONALD (406) 557-2050 gchd@midrivers.com Glacier Community Health Center, Inc. 140 S Central Ave Cut Bank MT 59427 GLACIER FQHC Contact: John Maher; (406) 873-5670 Glacier Community Health Center, Inc. 519 E Main St Cut Bank MT 59427 GLACIER FQHC Contact: John Maher; (406) 873-5670 Glacier Community Health Center, Inc. 802 2nd St SE Cut Bank MT 59427 GLACIER FQHC Contact: John Maher; (406) 873-5670 GLACIER CTY HLTH DEPT 1210 E MAIN ST CUT BANK MT 59427 GLACIER CAROL MCDIVITT (406) 873-2924 cmcdivitt@mt.gov GLENDIVE MEDICAL CENTER 202 PROSPECT DR GLENDIVE MT 59330 DAWSON GRANITE COUNTY MEDICAL CENTER 310 SANSOME ST PHILIPSBUR G MT 59858 GRANITE GRANITE CTY HLTH DEPT 26 E BROAD STREET DRUMMON D MT 59832 GRANITE KARYN JOHNSTON (406) 288-0330 kjohnston@co.missoula.mt .us Hays (Eagle Child)Health Station P.O. Box 610 Hays MT 59527 BLAINE Indian Health Contact: (406) 673-3777 Helena Indian Alliance 435 N. Last Chance Gulch Helena MT 59601 LEWIS AND CLARK Keith Bailey; Executive Director; 406-442-9244 Contact: Keith Bailey; Executive Director; HILL COUNTY FAMILY PLANNING 302 4TH AVE HAVRE MT 59501 HILL Contact: Danielle Golie; (406) 265-5481 DANIELLE GOLIE; DIRECTOR; (406) 265-5481 HILL CTY HLTH DEPT 302 4TH AVE HAVRE MT 59501 HILL KIM LARSON (406) 265-5481 larsonk@co.hill.mt.us HOLY ROSARY HEALTHCARE 2600 WILSON ST MILES CITY MT 59301 CUSTER Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Hot Springs Hot Springs Village Hot Springs MT 59845 SANDERS FQHC Contact: (406) 741-3266 Indian Health Contact: (406) 741-3266 IMPP OF BILLINGS HEIGHTS 100 W. WICKS LANE BILLINGS MT 59105 YELLOWSTONE BECKY HOWELL; Clinic Manager; (406) 869-5000 INDIAN FAM HLTH CLINIC 1220 CENTRAL AVE SUITE 2B GREAT FALLS MT 59401 CASCADE ELIZABETH LITTLE (406) 268-1510 elittle@indianfamilyhealth. org Indian Family Health Clinic (Great Falls, MT 1220 Central Avenue, Suite 1B Great Falls MT 59401 CASCADE Ernestine Belcourt; Executive Director; 406-268-1587 Contact: Ernestine Belcourt; Executive Director; Indian Health Board of Billings (Billings, MT) 1127 Alderson Avenue Billings MT 59102 YELLOWSTONE Marjorie Dear Don't Walk; Executive Director; Contact: Marjorie Dear Don't Walk; INDIAN HLTH BRD BILLINGS 1127 ALDERSON AVE BILLINGS MT 59102 YELLOWSTONE MELANIE ECKERSON (406) 245-7318 meckerson@ihbbillings.org JEFFERSON CTY HLTH DEPT 214 S MAIN ST BOULDER MT 59632 JEFFERSON MOLLY MOLITOR (406) 225-4007 mmolitor@jeffco.mt.gov KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 FLATHEAD LAKE CO FAMILY PLANNING 802 Main St POLSON MT 59860 LAKE Contact: Emily Colomeda; (406) 883-7288 EMILY COLOMEDA; Director; (406) 883-7288 LAKE CTY HLTH DEPT 802 MAIN ST SUITE A POLSON MT 59860 LAKE EMILY COLOMEDA (406) 883-7288 ecolomeda@mt.gov LCCHD/AUGUSTA CLINIC P O BOX 289 AUGUSTA MT 59410 LEWIS AND CLARK SARAH HOWE-COBB RN (406) 456-3509 showecobb@lccountymt.g ov LEO POCHA CLINIC 435 NORTH LAST CHANCE GULCH HELENA MT 59601 LEWIS AND CLARK TRESSIE WHITE (406) 442-9244 tressie@helenaindianallian ce.com LEWIS & CLARK CITY-CO. HEALTH DEPT. 1930 9th Ave Helena MT 59601 LEWIS AND CLARK FQHC Contact: Katherine McIvor; (406) 457-8956 Ryan White Contact: (406) 457-8951 KAREN DOBSON; DIRECTOR; (406) 443-2584 LEWIS & CLARK CITY-CO. HEALTH DEPT. 533 N Last Chance Gulch Helena MT 59601 LEWIS AND CLARK FQHC Contact: Katherine McIvor; (406) 457-8956 LEWIS & CLARK CITY-CO. HEALTH DEPT. 2463 WEST MONTANA HIGHWAY 200 LINCOLN MT 59639 POWELL FQHC Contact: Katherine McIvor; (406) 457-8956 LEWIS & CLARK HLTH DEPT 1930 9TH AVENUE HELENA MT 59601 LEWIS AND CLARK KAREN DOBSON (406) 443-2584 kdobson@lccountymt.gov LIBERTY COUNTY HOSPITAL 315 W MADISON AVE CHESTER MT 59522 LIBERTY LIBERTY CTY HLTH DEPT 618 E ADAMS CHESTER MT 59522 LIBERTY KARLA KULPAS (406) 759-5517 karla.kulpas@lchnh.org LINCOLN COUNTY CHC/FAMILY PLANNING 320 EAST 2ND ST LIBBY MT 59923 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 Contact: Maria Clemons; (406) 293-3755 MARIA CLEMONS; DIRECTOR; (406) 293-3755 Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 COMMUNITY HEALTH CENTER DBA NORTHWEST COMMUNITY HEALTH 101 Ski Rd Libby MT 59923 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 COMMUNITY HEALTH CENTER DBA NORTHWEST COMMUNITY HEALTH 150 Education Way Libby MT 59923 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 COMMUNITY HEALTH CENTER DBA NORTHWEST COMMUNITY HEALTH 211 E 2nd St Libby MT 59923 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 LINCOLN CTY / EUREKA 66121 HWY 37 EUREKA MT 59917 LINCOLN MARY CARVEY (406) 297-2023 shotsrus2@libby.org LIVINGSTON HEALTHCARE 504 S 13TH ST LIVINGSTON MT 59047 PARK LODGE GRASS IHS CENTER 1 HARDING ST LODGE GRASS MT 59050 BIG HORN NANCY HODSON (406) 639-2317 nancy.hodson@ihs.gov Mac's Pharmacy 317 Madison St. Sheridan MT 59701 Madison FQHC Contact: Jessica Hoff; (406) 496-6003 MADISON CTY HLTH DEPT 7 PLACER LOOP VIRGINIA CITY MT 59755 MADISON CHRISTINE DURHAM (406) 843-4295 madcophn@3rivers.net MADISON VALLEY MEDICAL CENTER 305 N MAIN ENNIS MT 59729 MADISON MARCUS DALY MEMORIAL HOSPITAL - CAH 1200 WESTWOOD DR HAMILTON MT 59840 RAVALLI Marias Healthcare Services Inc. 670 Park Ave Shelby MT 59474 TOOLE FQHC Contact: Dennis Freeman; (865) 934-6711 Marias Healthcare Services Inc. 865 Oilfield Ave Shelby MT 59474 TOOLE FQHC Contact: Dennis Freeman; (865) 934-6711 Marias Healthcare Services Inc. 13 1st Avenue South Sunburst MT 59482 TOOLE FQHC Contact: Dennis Freeman; (865) 934-6711 Marias Healthcare Services Inc. 422 Montana Valier MT 59486 PONDERA FQHC Contact: Dennis Freeman; (865) 934-6711 MARIAS MEDICAL CENTER 640 PARK DR SHELBY MT 59474 TOOLE MCCHD/PHC 323 W Alder St Missoula MT 59802 MISSOULA FQHC Contact: Kim Mansch; (406) 258-4191 Ryan White Contact: (406) 258-4165 Mary Jane Nealon; DIRECTOR; (406) 258-4165 MCCONE COUNTY HEALTH CENTER 605 SULLIVAN AVE CIRCLE MT 59215 MCCONE MCCONE CTY HLTH DEPT 605 SULLIVAN AVE CIRCLE MT 59215 MCCONE SUE GOOD-BROWN RN (406) 485-2444 mcconeph@midrivers.com MEAGHER CTY HLTH DEPT 16 W MAIN ST WHITE SULPHUR SPRINGS MT 59645 MEAGHER KARI JO KIFF (406) 547-3234 kjkiff@meaghercounty.mt. gov Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 MINERAL COMMUNITY HOSPITAL 1208 6TH AVE E SUPERIOR MT 59872 MINERAL MINERAL CTY HLTH DEPT 1203 5TH AVE EAST SUPERIOR MT 59872 MINERAL SUE HAZLETT (406) 822-3564 shazlett@co.mineral.mt.us Mineral Regional Health Center 1208 6th Avenue East Superior MT 59872 Mineral Contact: Steve Carty, 406-822-4841 MISSOULA CITY/COUNTY HEALTH DEPT/PARTNERSHIP HC 401 Railroad St W Missoula MT 59802 MISSOULA FQHC Contact: Kim Mansch; (406) 258-4191 MISSOULA CITY/COUNTY HEALTH DEPT/PARTNERSHIP HC 415 N Higgins Missoula MT 59802 MISSOULA FQHC Contact: Kim Mansch; (406) 258-4191 MISSOULA CITY/COUNTY HEALTH DEPT/PARTNERSHIP HC 535 Ryman St Missoula MT 59802 MISSOULA FQHC Contact: Kim Mansch; (406) 258-4191 MISSOULA CTY HLTH DEPT 301 W ALDER STREET MISSOULA MT 59802 MISSOULA SARA HEINEMAN (406) 258-4987 sheineman@co.missoula. mt.us Missoula Indian Center 830 W Central Avenue Missoula MT 59801 MISSOULA Dana Kingfisher; Acting Executive Dir.; 406-829-9515; Contact: Dana Kingfisher; Acting Executive MISSOULA INDIAN CENTER 830 W CENTRAL AVE MISSOULA MT 59801 MISSOULA SUNNY RAE ST. CLAIR (406) 829-9515 sstclair@micmt.com MISSOURI RIVER MEDICAL CENTER 1501 ST CHARLES ST FORT BENTON MT 59442 CHOUTEAU MONTANA DEPT OF PUBLIC HL 1400 BROADWAY, ROOM C-211 P O BOX 202951 HELENA MT 59620 LEWIS AND CLARK LAURIE KOPS; MONTANA STD/HIV SECTION SUPERVISOR; MONTANA MIGRANT COUNCIL, INC. 22085 E Shore Rte Bigfork MT 59911 FLATHEAD FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 3318 3rd Ave N Billings MT 59101 YELLOWSTONE FQHC Contact: Maria Stephens; (406) 248-3149 CHRISTINE GERHARD; CLINICAL DIRECTOR; CHRISTINE GERHARD; EXECUTIVE DIRECTOR; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 0 General Delivery BRIDGER MT 59014 CARBON FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 610 N Montana St Dillon MT 59725 BEAVERHEAD FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 35499 County 134 FAIRVIEW MT 59221 RICHLAND FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 0 General Delivery FORSYTH MT 59327 ROSEBUD FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. General Delivery Glendive MT 59330 DAWSON FQHC Contact: Maria Stephens; (406) 248-3149 MONTANA MIGRANT COUNCIL, INC. 122 5th St W Hardin MT 59034 BIG HORN FQHC Contact: Maria Stephens; (406) 248-3149 Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 MONTANA MIGRANT COUNCIL, INC. 300 S Finley Point Rd POLSON MT 59860 LAKE FQHC Contact: Maria Stephens; (406) 248-3149 MOUNTAINVIEW MEDICAL CENTER 16 W MAIN ST WHITE SULPHUR SPRING MT 59645 MEAGHER MT DPHHS 1400 E Broadway A116 Helena MT 59601 LEWIS AND CLARK Contact: Colleen Lindsay; (406) 444-3609 N CHEYENNE SERVICE UNIT 100 CHEYENNE AVE LAME DEER MT 59043 ROSEBUD MICHELLE THEX (406) 477-4400 michelle.thex@ihs.gov NA-TOOSE CLINIC RKY BOY 95 CLINIC ROAD BOX ELDER MT 59521 HILL JANET RUNNION (406) 395-4486 jrunnion@rbclinic.org NORTH AMERICAN INDIAN ALLIANCE 55 E GALENA STREET BUTTE MT 59701 SILVER BOW DANELLE STEIN (406) 782-0461 dstein@naia-butte.org North American Indian Alliance (Butte, MT) 55 East Galena Butte MT 59701 SILVER BOW Moke Eaglefeathers; Executive Director; 406-782-0461; Contact: Moke Eaglefeathers; Executive Director; NORTH VALLEY HOSPITAL 1600 HOSPITAL WAY WHITEFISH MT 59937 FLATHEAD Northern Cheyenne Recovery Program 100 Eagle Feather Street Lame Deer MT 59043 ROSEBUD FQHC Contact: (406) 477-6381 Indian Health Contact: (406) 477-6381 NORTHERN MONTANA HOSPITAL 30 13TH ST HAVRE MT 59501 HILL Northwest CHC 100 DEWEY AVENUE EUREKA MT 59917 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 Contact: Maria Clemons; (406) 293-3755 Northwest CHC 206 Calohan Creek TROY MT 59935 LINCOLN Maria Clemons; (406) 293-3755 ; Ext: 222 Contact: Maria Clemons; (406) 293-3755 Northwest Community Action Program P.O. Box 1858 Colstrip MT 59323 ROSEBUD BLCP Contact: 406-7483600 PARK CTY HLTH DEPT 414 E CALLENDER STREET LIVINGSTON MT 59047 PARK SUZANNE BROWN (406) 222-4140 nurse@parkcounty.org Petroleum County Courthouse 201 E Main St Winnett MT 59087 PETROLEUM Contact: Sue Irvine; (877) 421-8646 PHILLIPS COUNTY MEDICAL CENTER 311 S 8TH AVE E MALTA MT 59538 PHILLIPS PHILLIPS CTY HLTH DEPT 105 SOUTH 2ND EAST MALTA MT 59538 PHILLIPS MARY LOU BROADBROOKS (406) 654-2521 pchealth@mtintouch.net PIONEER MEDICAL CENTER 301 W 7TH AVE BIG TIMBER MT 59011 SWEET GRASS PIONEER MEDICAL CENTER (was acting as Sweet Grass CHD) 701 STOCK STREET BIG TIMBER MT 59011 SWEET GRASS TANA TODD (406) 932-4199 ttodd@pmcmt.org Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 PLANNED PARENTHOOD OF BILLINGS-WEST 1844 Broadwater Ave BILLINGS MT 59102 YELLOWSTONE Contact: Stacy James; (406) 248-3636 Kelly Rossol; CLINIC MANAGER; (406) 869-5077 Planned Parenthood of Montana 2525 4 Ave N Ste. 2001 Billings MT 59101 YELLOWSTONE Contact: Stacy James; (406) 248-3636 Planned Parenthood of Montana 211 9TH STREET SOUTH GREAT FALLS MT 59401 CASCADE Contact: Stacey James; (406) 454-3431 BRITTNEY MORRIS; CLINIC MANAGER; (406) 770-3256 Planned Parenthood of Montana 1500 Cannon St HELENA MT 59601 LEWIS AND CLARK Contact: Stacey James; (406) 443-7676 DAWN DOCKSTADER; CLINIC MANAGER; Planned Parenthood of Montana 219 E Main St MISSOULA MT 59802 MISSOULA Contact: Stacy James; (406) 830-3481 LACEY GAULRAPP; CLINIC MANAGER; (406) 830-3481 Polson Health Center Polson Village Polson MT 59860 LAKE FQHC Contact: (406) 883-5482 Indian Health Contact: (406) 883-5482 PONDERA CTY HLTH DEPT 311 S VIRGINIA STREET SUITE 1 CONRAD MT 59425 PONDERA CYNTHIA GRUBB (406) 271-3247 ponchd@3rivers.net PONDERA MEDICAL CENTER 805 SUNSET BLVD CONRAD MT 59425 PONDERA POPLAR COMMUNITY HOSPITAL 211 H ST E POPLAR MT 59255 ROOSEVELT POWDER RIVER CTY HLTH DEPT 507 N. LINCOLN BROADUS MT 59317 POWDER RIVER DARLYNN WILLIAMS (406) 436-2297 prpublichealth@rangeweb. net Powder River Medical Clinic Family Planning 507 N Lincoln Ave Box 210 Broadus MT 59317 POWDER RIVER Contact: Wendy Richards; (406) 436-2297 POWELL CO MEMORIAL HOSPITAL 1101 TEXAS AVE DEER LODGE MT 59722 POWELL POWELL CTY HLTH DEPT 1100 HOLLENBACK LANE DEER LODGE MT 59722 POWELL MARIANNE SAYLOR (406) 490-3941 saylormarianne@yahoo.co m PRAIRIE COMMUNITY HOSPITAL 312 S ADAMS TERRY MT 59349 PRAIRIE PRAIRIE CTY HLTH DEPT 409 BOWEN STREET TERRY MT 59349 PRAIRIE JANET FREDRICKSON (406) 635-2020 pchealth2@midrivers.com PROVIDENCE ST JOSEPH MEDICAL CENTER 6 13TH AVE E POLSON MT 59860 LAKE PRYOR IHS HEALTH CLINIC PRYOR GAP RD PRYOR MT 59066 BIG HORN NANCY HODSON (406) 259-8238 nancy.hodson@ihs.gov RAVALLI CO FAMILY PLANNING BOX 5018 HAMILTON MT 59840 RAVALLI JUDY GRIFFIN; DIRECTOR; (406) 375-6259 RAVALLI CTY HLTH DEPT 205 BEDFORD STREET SUITE L HAMILTON MT 59840 RAVALLI LORI RODRICK (406) 375-6672 lrodrick@rc.mt.gov Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Ravalli Cty Public Health Nurse Department 205 BEDFORD ST Ste L Hamilton MT 59840 RAVALLI Contact: Judy Griffin; (406) 375-6670 Richland County Family Planning 1202 W Holly Suite No. 1 Sidney MT 59270 RICHLAND Contact: Jeanne Seifert; (406) 433-2207 RICHLAND CTY HLTH DEPT 1201 WEST HOLLY ST SUITE #1 SIDNEY MT 59270 RICHLAND KATHY HELMUTH (406) 433-2207 khelmuth@richland.org RIVERSTONE HEALTH 123 SOUTH 27TH STREET BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Ryan White Contact: (406) 247-3357 TAMALEE ST. JAMES; DIRECTOR, COMMUNICABLE DISEASE; RIVERSTONE HLTH BRIDGER 410 SOUTH 2ND STREET BRIDGER MT 59014 CARBON PAMELA WETSTEIN (406) 662-3740 pam.wet@riverstonehealt h.org RIVERSTONE HLTH JOLIET 209 EAST FRONT AVENUE JOLIET MT 59041 CARBON LYNN NIELSON (406) 962-9062 lynn.nie@riverstonehealth. org RIVERSTONE HLTH- WORDEN 2469 MAIN ST WORDEN MT 59088 YELLOWSTONE JODY WALTER (406) 967-2255 jody.wal@riverstonehealth .org Rocky Boy Tribal (Chippewa-Cree) Health Center 31 Agency Square Box Elder MT 59521 HILL Fawn Tadios; Chief Executive Officer; 406-395-4982 Contact: Fawn Tadios; Chief Executive ROOSEVELT CTY HLTH DEPT 124 CUSTER STREET WOLF POINT MT 59201 ROOSEVELT BONNIE WEMMER (406) 653-6223 bwemmer@mt.gov ROOSEVELT MEDICAL CENTER 818 2ND AVE E CULBERTSO N MT 59218 ROOSEVELT Rosebud County Public Health Department 121 N 11th Ave FORSYTH MT 59327 ROSEBUD Ginger Roll; 406-346- 2156 Rosebud County Public Health Department 415 Willow Street COLSTRIP MT 59323 ROSEBUD Pennie Klein; 406-748- 2800 ROSEBUD CTY HLTH DEPT 121 N 11TH AVE FORSYTH MT 59327 ROSEBUD GINGER ROLL (406) 346-2156 groll@rosebudcountymt.c om ROSEBUD CTY HLTH/COLSTRIP 417 WILLOW AVENUE COLSTRIP MT 59323 ROSEBUD PENNIE KLEIN (406) 748-2800 pklein@rosebudcountymt. com ROSEBUD HEALTH CARE CENTER 383 N 17TH AV FORSYTH MT 59327 ROSEBUD ROUNDUP MEMORIAL HEALTHCARE 1202 3RD ST W ROUNDUP MT 59072 MUSSELSHELL RUBY VALLEY HOSPITAL 220 E CROFOOT SHERIDAN MT 59749 MADISON Sanders Cty Family Planning 1111 Main St Thompson Falls MT 59873 SANDERS Contact: Emily Colomeda; (406) 827-6931 SANDERS CTY HLTH DEPT 1111 MAIN STREET THOMPSON FALLS MT 59873 SANDERS KAREN MOREY (406) 827-6931 kmorey@sanderscounty.m t.gov Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 SHERIDAN CTY HLTH DEPT 100 W LAUREL AVE PLENTYWO OD MT 59254 SHERIDAN KATHLEEN JENSEN (406) 765-3410 kjensen@co.sheridan.mt.u s SHERIDAN MEMORIAL HOSPTIAL 440 W LAUREL AVE PLENTYWO OD MT 59254 SHERIDAN SIDNEY HEALTH CENTER 216 14TH AVE SW SIDNEY MT 59270 RICHLAND ST JAMES HEALTHCARE 400 S CLARK ST BUTTE MT 59701 SILVER BOW ST JOHN'S LUTHERAN HOSPITAL 350 LOUISIANA AVE LIBBY MT 59923 LINCOLN ST LUKE COMMUNITY HOSPITAL 107 6TH AVE SW RONAN MT 59864 LAKE ST PATRICK HOSPITAL 500 W BROADWAY MISSOULA MT 59806 MISSOULA ST PETER'S HOSPITAL 2475 BROADWAY HELENA MT 59601 LEWIS AND CLARK STILLWATER COMMUNITY HOSPITAL 44 W 4TH AVE N COLUMBUS MT 59019 STILLWATER STILLWATER CTY HLTH DEPT 407 NORTH A STREET COLUMBUS MT 59019 STILLWATER JILL GRIM (406) 322-1070 jgrim@stillwaterhospital.or g SWEET GRASS CTY HLTH DEPT 515 HOOPER BIG TIMBER MT 59011 SWEET GRASS SUSAN SONDENO (406) 932-5449 ssondeno@mt.gov SWEET MEDICAL CENTER, INC. 419 PENNSYLVANIA CHINOOK MT 59523 BLAINE FQHC Contact: Jared Payne; (406) 357-2403 SWEET MEDICAL CENTER, INC. 116 S. MAIN HARLEM MT 59526 BLAINE FQHC Contact: Jared Payne; (406) 357-2403 Teton County Public Health Department 905 4th St NW CHOTEAU MT 59422 TETON Lora Wier; 406-466- 2562 TETON CTY HLTH DEPT 905 FOURTH STREET NW CHOTEAU MT 59422 TETON LORA WEIR (406) 466-2562 health@3rivers.net TETON MEDICAL CENTER 915 4TH ST NW CHOTEAU MT 59422 TETON THHS ELMO HLTH CENTER 46941 MAIN ST ELMO MT 59915 LAKE HEATHER KUNTZ (406) 849-5798 heather.kuntz@cskt.org THHS POLSON CLINIC 5 4TH AVE E POLSON MT 59860 LAKE DEBBIE ANDERSON (406) 883-5541 deb.anderson@cskt.org THHS-ARLEE CLINIC P O BOX 880 ST IGNATIUS MT 59865 LAKE TAMMY MATT (406) 726-3224 tammy.matt@cskt.org Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 THHS-RONAN CLINIC 35860 ROUND BUTTE ROAD W RONAN MT 59864 LAKE BARB PLOUFFE (406) 676-0137 barb.plouffe@cskt.org THHS-ST IGNATIUS TRIBAL 308 MISSION DRIVE ST IGNATIUS MT 59865 LAKE BARB PLOUFFE (406) 745-3525 barb.plouffe@cskt.org TOOLE CTY HLTH DEPT 402 FIRST STREET SOUTH SHELBY MT 59474 TOOLE KRISTI AKLESTAD (406) 424-5169 tchealth@3rivers.net TREASURE CTY HLTH DEPT 405 1/2 PIONEER AVENUE HYSHAM MT 59038 TREASURE DEB FRENCH (406) 342-5886 tcph@rangeweb.net TRINITY HOSPITAL 315 KNAPP ST WOLF POINT MT 59201 ROOSEVELT Valley County Health Department 501 Court Box 11 Glasgow MT 59230 VALLEY Contact: Wendy Richards; (406) 228-6261 VALLEY CTY HLTH DEPT 500 4TH AVE SOUTH GLASGOW MT 59230 VALLEY VICKIE BELL (406) 228-6261 vbell@valleycountymt.net VERNE E GIBBS IHS CENTER 107 H STREET POPLAR MT 59255 ROOSEVELT SUE SNITKER (406) 768-3491 sue.snitker@ihs.gov WHEATLAND MEMORIAL HOSPITAL 530 3RD ST NW HARLOWTO N MT 59036 WHEATLAND White Sky Hope Center 535 Clinic Road Box Elder MT 59521 HILL Indian Health Contact: (406) 395-4837 WIBAUX CTY HLTH DEPT 203 S WIBAUX STREET SOUTH WIBAUX MT 59353 WIBAUX BARB MAUS (406) 796-2485 wchd@midrivers.com Health Department/Riverstone Health BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1233 N 30th St Billings MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1341 Rosebud Ln Billings MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2520 1ST AVE N BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2610 Montana Ave Billings MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2800 10th Ave N Billings MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2822 MINNESOTA AVE BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 410 S 26TH ST BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Organization Name Street Address City State Zip Code County Name Contact 1 Contact 2 Contact 3 Health Department/Riverstone Health 515 N 27TH ST BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 600 S 27th St Billings MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 701 S 27TH ST BILLINGS MT 59101 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1807 24th St W Billings MT 59102 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2115 Central Ave Billings MT 59102 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 3155 Avenue C Billings MT 59102 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 3940 Rimrock Rd Billings MT 59102 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1225 Wicks Ln Billings MT 59105 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1415 Yellowstone River Rd Billings MT 59105 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 410 South 2nd Street Bridger MT 59014 CARBON FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 1220 S Atlantic St Dillon MT 59725 BEAVERHEAD FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 209 East Front Avenue Joliet MT 59041 CARBON FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 103 Madison St Sheridan MT 59749 MADISON FQHC Contact: Nancy Taylor; (406) 247-3295 Health Department/Riverstone Health 2469 Main St Worden MT 59088 YELLOWSTONE FQHC Contact: Nancy Taylor; (406) 247-3295 YELLOWSTONE CTY HLTH DEPT/RIVERSTONE HLTH 123 S 27TH STREET BILLINGS MT 59101 YELLOWSTONE TAMALEE ST JAMES (406) 247-3357 tamalee.stj@riverstonehea lth.org