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NPI Code Detail

MEDICARE: BIG HORN HOSPITAL ASSOCIATION

MEDICARE: BIG HORN HOSPITAL ASSOCIATION
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
1275N00000XMedicare Defined Swing Bed Hospital Unit11173MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
240502OTHERMTNURSING HOME
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457441651
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIG HORN HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-9238
Provider Business Practice Location Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-9238
Authorized Official
Title or Position : CEO
Name : MRS. KRISTI M GATRELL
Credential :
Telephone Number : 406-665-2310
Provider Enumeration Date : 10/16/2006
Last Update Date : 06/17/2019

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1669800223 — MR. TOBY JAMES DAVIS DPT
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59034-2323
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1013347665 — SHANNON M WAGENMAN FNP-BC
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1568841658 — RAICHELL LYNN DORLAND-ROAN RDN, DTR, CDM, CLC
Practice Location Address:
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59034-2323
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Practice Fax: 406-665-9238

Directions to “BIG HORN HOSPITAL ASSOCIATION ” Practice Location

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