Healthcare Provider Details

I. General information

NPI: 1942316930
Provider Name (Legal Business Name): PLAINS HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 06/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 MAIN ST
HOT SPRINGS MT
59845-9342
US

IV. Provider business mailing address

PO BOX 768
PLAINS MT
59859-0768
US

V. Phone/Fax

Practice location:
  • Phone: 406-741-3602
  • Fax: 406-741-3605
Mailing address:
  • Phone: 406-826-4921
  • Fax: 406-826-4811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number10608
License Number StateMT

VIII. Authorized Official

Name: GREGORY S HANSON
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 406-826-4813