Provider Demographics
NPI:1437139888
Name:ROSEBUD COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:ROSEBUD COMMUNITY HOSPITAL, INC
Other - Org Name:ROSEBUD HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-346-4259
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:383 N 17TH ST
Mailing Address - City:FORSYTH
Mailing Address - State:MT
Mailing Address - Zip Code:59327-0268
Mailing Address - Country:US
Mailing Address - Phone:406-346-2161
Mailing Address - Fax:406-346-4255
Practice Address - Street 1:383 N 17TH ST
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MT
Practice Address - Zip Code:59327-0268
Practice Address - Country:US
Practice Address - Phone:406-346-2161
Practice Address - Fax:406-346-4255
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSEBUD COMMUNITY HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-20
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9734314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT314184Medicaid
MT314184Medicaid