Healthcare Provider Details

I. General information

NPI: 1679693584
Provider Name (Legal Business Name): BLACKFEET COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 HOSPITAL CIRLE
BROWNING MT
59417-0760
US

IV. Provider business mailing address

PO BOX 760 HOSPITAL CIRCLE
BROWNING MT
59417-0760
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6231
  • Fax: 406-338-6347
Mailing address:
  • Phone: 406-338-6231
  • Fax: 406-338-6347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number19625
License Number StateMT

VIII. Authorized Official

Name: MYRA A MAGEE
Title or Position: CASE MANAGER
Credential: REGISTERED NURSE
Phone: 406-338-6231