Healthcare Provider Details

I. General information

NPI: 1265547939
Provider Name (Legal Business Name): PLAINS HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 KRUGER ROAD
PLAINS MT
59859
US

IV. Provider business mailing address

PO BOX 768
PLAINS MT
59859-0768
US

V. Phone/Fax

Practice location:
  • Phone: 406-826-4813
  • Fax: 406-826-4811
Mailing address:
  • Phone: 406-826-4813
  • Fax: 406-826-4811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10608
License Number StateMT

VIII. Authorized Official

Name: RUSSELL E LOGAN
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 406-826-4813