1891713533 NPI number — BIG HORN HOSPITAL ASSOCIATION

Table of content: (NPI 1891713533)

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".




Copyright © 2007-2025 www.npivalidator.com