MEDICARE: PLAINS HOSPITAL CORPORATION

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	261QR1300X	Rural Health Clinic/Center	10608	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	273980	OTHER	MT	MEDICARE ID

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
3	63222	OTHER	MT	BLUE CROSS/MONTANA

General Provider Information

NPI Number	:	1942316930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAINS HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 768
Second Line	:
City	:	PLAINS
State	:	MT
Zip	:	59859-0768
Country	:	US
Telephone Number	:	406-826-4921
Fax Number	:	406-826-4811

Provider Business Practice Location Address
First Line	:	209 MAIN ST
Second Line	:
City	:	HOT SPRINGS
State	:	MT
Zip	:	59845-9342
Country	:	US
Telephone Number	:	406-741-3602
Fax Number	:	406-741-3605

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	GREGORY S HANSON
Credential	:	MD
Telephone Number	:	406-826-4813

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	06/22/2016

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Directions to “PLAINS HOSPITAL CORPORATION ” Practice Location

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