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NPI Code Detail

MEDICARE: CHOUTEAU COUNTY DISTRICT HOSPITAL

MEDICARE: CHOUTEAU COUNTY DISTRICT HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit11052MT

General Provider Information

NPI Number : 1053445148
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOUTEAU COUNTY DISTRICT HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 249
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-0249
Country : US
Telephone Number : 406-622-3331
Fax Number : 406-622-5670
Provider Business Practice Location Address
First Line : 1501 SAINT CHARLES ST
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-7710
Country : US
Telephone Number : 406-622-3331
Fax Number : 406-622-5670
Authorized Official
Title or Position : COO
Name : MS. JANICE WOODHOUSE
Credential :
Telephone Number : 406-622-3331
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/12/2020

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Directions to “CHOUTEAU COUNTY DISTRICT HOSPITAL ” Practice Location

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