Healthcare Provider Details

I. General information

NPI: 1225150956
Provider Name (Legal Business Name): GRANITE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 SANSOME ST
PHILIPSBURG MT
59858-0729
US

IV. Provider business mailing address

PO BOX 729 310 SANSOME ST
PHILIPSBURG MT
59858-0729
US

V. Phone/Fax

Practice location:
  • Phone: 406-859-3271
  • Fax: 406-859-3011
Mailing address:
  • Phone: 406-859-3271
  • Fax: 406-859-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10622
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN HUSO
Title or Position: C E O
Credential:
Phone: 406-859-3271