Provider Demographics
NPI:1689685323
Name:FRANCES MAHON DEACONESS HOSPITAL
Entity Type:Organization
Organization Name:FRANCES MAHON DEACONESS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FINANCIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:CAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-228-3500
Mailing Address - Street 1:621 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2604
Mailing Address - Country:US
Mailing Address - Phone:406-228-3500
Mailing Address - Fax:406-228-3680
Practice Address - Street 1:621 3RD ST S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2604
Practice Address - Country:US
Practice Address - Phone:406-228-3500
Practice Address - Fax:406-228-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10542282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT060682OtherBLUE CROSS HOSPITAL
MT4100893Medicaid
MT271316Medicare Oscar/Certification