Healthcare Provider Details

I. General information

NPI: 1588061089
Provider Name (Legal Business Name): BARRETT HOSPITAL & HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2014
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MT HIGHWAY 91 S
DILLON MT
59725-7379
US

IV. Provider business mailing address

600 MT HIGHWAY 91 S
DILLON MT
59725-7379
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-3041
  • Fax: 406-683-9216
Mailing address:
  • Phone: 406-683-3041
  • Fax: 406-683-9216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number403
License Number StateMT

VIII. Authorized Official

Name: JILL PULASKI
Title or Position: DIETITIAN
Credential: RD, CDE
Phone: 406-683-3041