Healthcare Provider Details

I. General information

NPI: 1194823013
Provider Name (Legal Business Name): COMMUNITY HOSPITAL OF ANACONDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W PENNSYLVANIA ST
ANACONDA MT
59711-1931
US

IV. Provider business mailing address

401 W PENNSYLVANIA ST
ANACONDA MT
59711-1931
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-8500
  • Fax:
Mailing address:
  • Phone: 406-563-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA L AUSTIN
Title or Position: CFO
Credential:
Phone: 406-563-8521