MEDICARE: CHOUTEAU COUNTY DISTRICT HOSPITAL

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	251E00000X	Home Health Agency	10380	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144236928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOUTEAU COUNTY DISTRICT HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 249
Second Line	:
City	:	FORT BENTON
State	:	MT
Zip	:	59442-0249
Country	:	US
Telephone Number	:	406-622-3331
Fax Number	:	406-622-5670

Provider Business Practice Location Address
First Line	:	1501 SAINT CHARLES
Second Line	:
City	:	FORT BENTON
State	:	MT
Zip	:	59442
Country	:	US
Telephone Number	:	406-622-3331
Fax Number	:	406-622-5670

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	MS. STACY ANN BISEL
Credential	:
Telephone Number	:	406-622-6169

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/22/2020

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Directions to “CHOUTEAU COUNTY DISTRICT HOSPITAL ” Practice Location

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