Healthcare Provider Details

I. General information

NPI: 1194827451
Provider Name (Legal Business Name): ROSEBUD COMMUNITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 NORTH 17TH AVE
FORSYTH MT
59327-0268
US

IV. Provider business mailing address

PO BOX 268
FORSYTH MT
59327-0268
US

V. Phone/Fax

Practice location:
  • Phone: 406-346-4236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number11036
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number11036
License Number StateMT

VIII. Authorized Official

Name: MINDY PRICE
Title or Position: CEO
Credential:
Phone: 406-346-4259