Provider Demographics
NPI:1265481444
Name:COMMUNITY HOSPITAL OF ANACONDA
Entity Type:Organization
Organization Name:COMMUNITY HOSPITAL OF ANACONDA
Other - Org Name:PINTLER HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:HICKEY-BOYNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-563-8500
Mailing Address - Street 1:118 E 7TH ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2953
Mailing Address - Country:US
Mailing Address - Phone:406-563-7023
Mailing Address - Fax:406-563-7030
Practice Address - Street 1:118 E 7TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2953
Practice Address - Country:US
Practice Address - Phone:406-563-7023
Practice Address - Fax:406-563-7030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HOSPITAL OF ANACONDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-08
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10329251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0740214Medicaid
MT0740214Medicaid