Healthcare Provider Details

I. General information

NPI: 1396286480
Provider Name (Legal Business Name): BARRETT HOSPITAL DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MT HIGHWAY 91 S
DILLON MT
59725-3535
US

IV. Provider business mailing address

600 MT HIGHWAY 91 S
DILLON MT
59725-7379
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-3000
  • Fax: 406-683-3011
Mailing address:
  • Phone: 406-683-3000
  • Fax: 406-683-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number13549
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number13549
License Number StateMT

VIII. Authorized Official

Name: RICHARD JAMES ACHTER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 406-683-3003