Healthcare Provider Details

I. General information

NPI: 1366461303
Provider Name (Legal Business Name): BARRETT HOSPITAL DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MT HWY 91 SOUTH
DILLON MT
59725-3597
US

IV. Provider business mailing address

600 MT HWY 91 SOUTH
DILLON MT
59725-3597
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-3000
  • Fax: 406-683-3206
Mailing address:
  • Phone: 406-683-3000
  • Fax: 406-683-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number9896
License Number StateMT

VIII. Authorized Official

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