NORTHERN MONTANA HOSPITAL (NPI# 1619156775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619156775 |
Entity Type | Organization |
Organization Name | NORTHERN MONTANA HOSPITAL |
Other Organization Name | NORTHERN MONTANA HOSPITAL ANESTHESIA |
Practice Address |
30 13th St Havre MT 59501-5222 |
Mailing Address |
Po Box 1231 Havre MT 59501-1231 |
Practice Telephone | 4062652211 |
Practice Fax Number | 4062651651 |
Mailing Telephone | 4062652211 |
Mailing Fax Number | 4062651651 |
Enumeration Date | 2007-10-25 |
Last Update Date | 2010-02-13 |
Authorized Official Name | MR. DAVID C. HENRY (PRESIDENT/CEO) |
Authorized Official Telephone | 4062621302 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHERN MONTANA HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 282N00000X | General Acute Care Hospital | 11676 | MT | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 1619156775 | 05 |
Other Name | Type Code |
---|---|
Northern Montana Hospital Anesthesia | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346213121 | Northern Montana Hospital | Assisted Living Facility | 24 13th St, Havre, MT 59501-5222 | 2006-02-10 |
1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
1134307010 | Northern Montana Hospital | Clinic/Center | 124 13th St, Havre, MT 59501-5223 | 2008-02-04 |
1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
1528281110 | Northern Montana Hospital | Home Health | 30 13th St, Havre, MT 59501-5222 | 2007-04-11 |
1396896361 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
1679624746 | Northern Montana Hospital | Clinic/Center | 115 4th Ave W, Havre, MT 59501-3456 | 2007-01-16 |
1023169190 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
1932250909 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
1578657698 | Northern Montana Hospital | General Acute Care Hospital | 30 13th St, Havre, MT 59501-5222 | 2006-10-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTHERN MONTANA HOSPITAL | 30 13th St, Havre, MT 59501-5222 |
Street Address |
30 13TH ST |
City | HAVRE |
State | MT |
Zip Code | 59501-5222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
1336702703 | Courtney Lee Funderburk | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2019-04-20 |
1164996948 | Ryan J Blackwell | Physician Assistant | 30 13th St, Havre, MT 59501 | 2019-01-15 |
1841746856 | Molly Salmond | Radiology Practitioner Assistant | 30 13th St, Havre, MT 59501-5222 | 2016-08-30 |
1538530027 | Julie Dellerba | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2015-10-09 |
1962879809 | Daniel Henry Sorensen | Physician Assistant | 30 13th St, Havre, MT 59501-5222 | 2015-08-26 |
1003241472 | Hillary Jean Riggin | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2013-09-04 |
1902127970 | Susan M Marion | Pathology | 30 13th St, Havre, MT 59501-5222 | 2010-06-14 |
1902072333 | Tessa Nichole Roberts | Nutritionist | 30 13th St, Havre, MT 59501-5222 | 2008-05-06 |
1861686560 | Damian Ramon Ymzon | Surgery | 30 13th St, Havre, MT 59501-5222 | 2007-09-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700951761 | St. James Healthcare | General Acute Care Hospital | 400 South Clark St, Butte, MT 59701-2328 | 2006-11-22 |
1902908262 | Roundup Memorial Hospital Association | General Acute Care Hospital | 1207 Second St W, Roundup, MT 59072-1835 | 2006-09-05 |
1861409955 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 760 Hospital Circle, Browning, MT 59417 | 2006-08-02 |
1639109978 | Cmsc, LLC | General Acute Care Hospital | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2006-07-03 |
1104295864 | Bozeman Health Deaconess Hospital | General Acute Care Hospital | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-09-23 |
1265801559 | Bozeman Health Big Sky Medical Center, LLC | General Acute Care Hospital | 334 Town Center Avenue, Big Sky, MT 59716 | 2015-09-17 |
1346642899 | Rchp Billings - Missoula LLC | General Acute Care Hospital | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2014-09-16 |
1952668212 | Montana Anesthesia Pllc | General Acute Care Hospital | 465 Flood Rd, Great Falls, MT 59404-6403 | 2012-04-11 |
1437422151 | Kayla Denise Butcher | General Acute Care Hospital | 2621 15th Ave S, Great Falls, MT 59405-5201 | 2012-02-10 |
1053683706 | St Vincent Healthcare | General Acute Care Hospital | 1233 N 30th St, Billings, MT 59101-0127 | 2012-01-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.