Provider Demographics
NPI:1336252758
Name:CENTRAL MONTANA MEDICAL FACILITIES, INC.
Entity Type:Organization
Organization Name:CENTRAL MONTANA MEDICAL FACILITIES, INC.
Other - Org Name:CENTRAL MONTANA MEDICAL CENTER CRNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGBEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-535-6200
Mailing Address - Street 1:408 WENDELL AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2261
Mailing Address - Country:US
Mailing Address - Phone:406-535-7711
Mailing Address - Fax:406-535-6392
Practice Address - Street 1:408 WENDELL AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2261
Practice Address - Country:US
Practice Address - Phone:406-535-7711
Practice Address - Fax:406-535-6392
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL MONTANA MEDICAL FACILITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTCD4133OtherRR MEDICARE GROUP PIN
MT98650OtherBCBS PROVIDER NUMBER
MT0355771Medicaid
MT0355771Medicaid