Provider Demographics
NPI:1326042078
Name:BARRETT HOSPITAL DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:BARRETT HOSPITAL DEVELOPMENT CORPORATION
Other - Org Name:BARRETT HOSPITAL & HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-683-3003
Mailing Address - Street 1:600 MT HWY 91 SOUTH
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3597
Mailing Address - Country:US
Mailing Address - Phone:406-683-3000
Mailing Address - Fax:406-683-3206
Practice Address - Street 1:600 MT HWY 91 SOUTH
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3597
Practice Address - Country:US
Practice Address - Phone:406-683-3000
Practice Address - Fax:406-683-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9896282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT271318Medicare Oscar/Certification
MT000009902Medicare Oscar/Certification