Healthcare Provider Details

I. General information

NPI: 1255476388
Provider Name (Legal Business Name): PHILLIPS COUNTY HOSPITAL ASSN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 SOUTH 8TH AVE EAST
MALTA MT
59538
US

IV. Provider business mailing address

311 S 8TH AVE E
MALTA MT
59538-8978
US

V. Phone/Fax

Practice location:
  • Phone: 406-654-1100
  • Fax: 406-654-2876
Mailing address:
  • Phone: 406-654-1100
  • Fax: 406-654-2876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10813
License Number StateMT

VIII. Authorized Official

Name: SUSAN MARIE BIBBS
Title or Position: DIRECTOR OF REVENUE
Credential:
Phone: 406-654-1100