Healthcare Provider Details

I. General information

NPI: 1538131172
Provider Name (Legal Business Name): NORTHERN MONTANA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 1ST AVE
HAVRE MT
59501-6207
US

IV. Provider business mailing address

PO BOX 1231
HAVRE MT
59501-1231
US

V. Phone/Fax

Practice location:
  • Phone: 406-265-5408
  • Fax: 406-265-1651
Mailing address:
  • Phone: 406-262-1302
  • Fax: 406-265-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateMT

VIII. Authorized Official

Name: KEVIN ARTHUR HARADA
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 406-262-1302