Provider Demographics
NPI:1447245857
Name:TOWNSEND HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:TOWNSEND HEALTH SYSTEMS, INC.
Other - Org Name:BROADWATER HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIFFANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-266-3186
Mailing Address - Street 1:110 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MT
Mailing Address - Zip Code:59644-2332
Mailing Address - Country:US
Mailing Address - Phone:406-266-3186
Mailing Address - Fax:406-266-3180
Practice Address - Street 1:110 N OAK ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MT
Practice Address - Zip Code:59644-2332
Practice Address - Country:US
Practice Address - Phone:406-266-3186
Practice Address - Fax:406-266-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No251S00000XAgenciesCommunity/Behavioral Health
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0413219Medicaid
00052OtherBC
MT27Z333Medicare Oscar/Certification
MTM000009905Medicare PIN
00052OtherBC
MT271333Medicare Oscar/Certification