Provider Demographics
NPI:1144243106
Name:BIG HORN HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:BIG HORN HOSPITAL ASSOCIATION
Other - Org Name:BIG HORN SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:M
Authorized Official - Last Name:GATRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-665-2310
Mailing Address - Street 1:200 NORTH MITCHELL AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034
Mailing Address - Country:US
Mailing Address - Phone:406-665-2802
Mailing Address - Fax:
Practice Address - Street 1:200 NORTH MITCHELL AVENUE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034
Practice Address - Country:US
Practice Address - Phone:406-665-2802
Practice Address - Fax:406-665-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10498314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT800449Medicaid
MT0312182Medicaid
041222OtherBLUE CROSS BLUE SHIELD
041222OtherBLUE CROSS BLUE SHIELD