MEDICARE: ROSEBUD COMMUNITY HOSPITAL INC

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
1	314000000X	Skilled Nursing Facility	11036	MT
2	282NC0060X	Critical Access Hospital	11036	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194827451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEBUD COMMUNITY HOSPITAL INC

Provider Business Mailing Address
First Line	:	PO BOX 268
Second Line	:
City	:	FORSYTH
State	:	MT
Zip	:	59327-0268
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 NORTH 17TH AVE
Second Line	:
City	:	FORSYTH
State	:	MT
Zip	:	59327-0268
Country	:	US
Telephone Number	:	406-346-4236
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MINDY PRICE
Credential	:
Telephone Number	:	406-346-4259

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	11/01/2019

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