Healthcare Provider Details

I. General information

NPI: 1083710651
Provider Name (Legal Business Name): RUBY VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MADISON STREET
SHERIDAN MT
59749-0336
US

IV. Provider business mailing address

PO BOX 336
SHERIDAN MT
59749-0336
US

V. Phone/Fax

Practice location:
  • Phone: 406-842-5453
  • Fax: 406-842-5455
Mailing address:
  • Phone: 406-842-5453
  • Fax: 406-842-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10088
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number527
License Number StateMT

VIII. Authorized Official

Name: JIM GILLHOUSE
Title or Position: CEO
Credential:
Phone: 406-842-5453