Healthcare Provider Details

I. General information

NPI: 1518062769
Provider Name (Legal Business Name): ROSEBUD COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 N 17TH ST
FORSYTH MT
59327-0268
US

IV. Provider business mailing address

PO BOX 268 383 N 17TH ST
FORSYTH MT
59327-0268
US

V. Phone/Fax

Practice location:
  • Phone: 406-346-2161
  • Fax: 406-346-4255
Mailing address:
  • Phone: 406-346-2161
  • Fax: 406-346-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMT

VIII. Authorized Official

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