Healthcare Provider Details

I. General information

NPI: 1194837237
Provider Name (Legal Business Name): PLAINS HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 KRUGER RD
PLAINS MT
59859-9506
US

IV. Provider business mailing address

10 KRUGER RD PO BOX 768
PLAINS MT
59859-9506
US

V. Phone/Fax

Practice location:
  • Phone: 406-826-4816
  • Fax: 406-826-4849
Mailing address:
  • Phone: 406-826-4816
  • Fax: 406-826-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10608
License Number StateMT

VIII. Authorized Official

Name: MRS. MARGO E HARRISON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 406-826-4814