MEDICARE: PUBLIC HOSPITAL DISTRICT OF BEAVERHEAD COUNTY DB

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	282NC0060X	Critical Access Hospital	9896	MT

General Provider Information

NPI Number	:	1730216037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIC HOSPITAL DISTRICT OF BEAVERHEAD COUNTY DB

Provider Business Mailing Address
First Line	:	30 MT HIGHWAY 91 SOUTH
Second Line	:
City	:	DILLON
State	:	MT
Zip	:	59725-3597
Country	:	US
Telephone Number	:	406-683-3001
Fax Number	:	406-683-3207

Provider Business Practice Location Address
First Line	:	30 MT HWY 91 SOUTH
Second Line	:
City	:	DILLON
State	:	MT
Zip	:	59725-3597
Country	:	US
Telephone Number	:	406-683-3001
Fax Number	:	406-683-3207

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	RICHARD ACHTER
Credential	:
Telephone Number	:	406-683-3003

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	09/06/2011

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Practice Location Address:

600 MT HWY 91 SOUTH
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