Provider Demographics
NPI:1457441651
Name:BIG HORN HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:BIG HORN HOSPITAL ASSOCIATION
Other - Org Name:BIG HORN HOSPITAL
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 1:17 N MILES AVE
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-2323
Mailing Address - Country:US
Mailing Address - Phone:406-665-2310
Mailing Address - Fax:406-665-9238
Practice Address - Street 1:17 N MILES AVE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-2323
Practice Address - Country:US
Practice Address - Phone:406-665-2310
Practice Address - Fax:406-665-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11173275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3401632Medicaid
MT40502OtherNURSING HOME
MT3100331Medicaid
MT349010Medicaid
MT3401632Medicaid