MEDICARE: ROSEBUD COMMUNITY HOSPITAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NR1301X	Rural Acute Care Hospital		MT

General Provider Information

NPI Number	:	1023066081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEBUD COMMUNITY HOSPITAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 268
Second Line	:
City	:	FORSYTH
State	:	MT
Zip	:	59327-0268
Country	:	US
Telephone Number	:	406-346-2161
Fax Number	:	406-346-4255

Provider Business Practice Location Address
First Line	:	383 NORTH 17TH AVENUE
Second Line	:
City	:	FORSYTH
State	:	MT
Zip	:	59327
Country	:	US
Telephone Number	:	406-346-2161
Fax Number	:	406-346-4255

Authorized Official
Title or Position	:	CFO
Name	:	MR. MINDY E PRICE
Credential	:
Telephone Number	:	406-351-2239

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/21/2022

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