Provider Demographics
NPI:1891713533
Name:BIG HORN HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:BIG HORN HOSPITAL ASSOCIATION
Other - Org Name:BIG HORN COUNTY MEMORIAL 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:CEO
Authorized Official - Phone:406-665-2310
Mailing Address - Street 1:17 NORTH MILES AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034
Mailing Address - Country:US
Mailing Address - Phone:406-665-2310
Mailing Address - Fax:406-665-9238
Practice Address - Street 1:17 NORTH MILES AVENUE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034
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:2006-07-18
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10325282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000096355OtherBLUE CROSS X-RAY READING
WA3008844Medicaid
MT661640OtherBLUE CROSS OCCUPATIONAL T
MT00482OtherBLUE CROSS ER, HOSPITAL
MT661650OtherBLUE CROSS SPEECH THERAPY
ID002224200Medicaid
WY109225100Medicaid
MT3100331OtherMEDICAID SWING BED
SD5521130Medicaid
MT1026852OtherPREFERRED ONE
ND11708Medicaid
MT3502278Medicaid
ND02253Medicaid
MT16111OtherLAB & X-RAY
MT0000900001OtherBLUE CROSS ER DOCTOR
MT4102372Medicaid
MT61698OtherBLUE CROSS PT
WY109225100Medicaid
ID002224200Medicaid
MT61698OtherBLUE CROSS PT