1891713533 NPI number — BIG HORN HOSPITAL ASSOCIATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891713533 NPI number — BIG HORN HOSPITAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIG HORN HOSPITAL ASSOCIATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891713533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 NORTH MILES AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARDIN
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-665-2310
Provider Business Mailing Address Fax Number:
406-665-9238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 NORTH MILES AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARDIN
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-665-2310
Provider Business Practice Location Address Fax Number:
406-665-9238
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GATRELL
Authorized Official First Name:
KRISTI
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
406-665-2310

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  10325 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000096355 . This is a "BLUE CROSS X-RAY READING" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 3008844 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 661640 . This is a "BLUE CROSS OCCUPATIONAL T" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 00482 . This is a "BLUE CROSS ER, HOSPITAL" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 661650 . This is a "BLUE CROSS SPEECH THERAPY" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 002224200 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 109225100 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3100331 . This is a "MEDICAID SWING BED" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 5521130 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1026852 . This is a "PREFERRED ONE" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 11708 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3502278 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02253 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 16111 . This is a "LAB & X-RAY" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 0000900001 . This is a "BLUE CROSS ER DOCTOR" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 4102372 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 61698 . This is a "BLUE CROSS PT" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".




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