Provider Demographics
NPI:1982938486
Name:ROSEBUD COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:ROSEBUD COMMUNITY HOSPITAL, INC
Other - Org Name:ROSEBUD HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-351-2239
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:383 N 17TH AVE
Mailing Address - City:FORSYTH
Mailing Address - State:MT
Mailing Address - Zip Code:59327-0268
Mailing Address - Country:US
Mailing Address - Phone:406-346-2161
Mailing Address - Fax:406-346-4242
Practice Address - Street 1:383 NORTH 17TH AVENUE
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MT
Practice Address - Zip Code:59327-0268
Practice Address - Country:US
Practice Address - Phone:406-346-2161
Practice Address - Fax:406-346-4242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11689253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT271327Medicare Oscar/Certification
27Z327Medicare Oscar/Certification
275072Medicare Oscar/Certification