NPIMap

Organization Active NPI

Pioneer Medical Center

Doing business as Pioneer Medical Center CAH

  • Critical Access Hospital
  • Big Timber, MT
National Provider Identifier
1003939190
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10783 Issued in MT
Legal business name
PIONEER MEDICAL CENTER
Doing business as
Pioneer Medical Center CAH
Practice address
301 W 7TH Ave
Big Timber, MT 59011-7893
Phone
(406) 932-4603
Fax
(406) 932-5468
NPI assigned
Apr 6, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ian Peterson
Title
Chief Executive Officer
Phone
(406) 932-4603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Critical Access Hospital 282NC0060X 10783 MT Primary

Addresses

Primary practice location

301 W 7TH Ave
Big Timber, MT 59011-7893

Mailing address

P.O. Box 1228
301 West 7TH Avenue, Suite Cah
Big Timber, MT 59011-1228
Phone (406) 932-4603

Other identifiers 3

IdentifierTypeStateIssuer
15731OtherMTBLUE CROSS BLUE SHIELD
60172OtherMTBLUE CROSS BLUE SHIELD
0411749MedicaidMT

Other names 1

  • Pioneer Medical Center CAH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160729000038 MT Part A Provider - Critical Access Hospital 6507159514 Receives reassigned benefits from 33 practitioners
Practice locations: Big Timber, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003939190. Details of each certification follow.

Hospital certification: CCN 271313

Legal name
PIONEER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 1999
Last certification
Aug 15, 2024
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2016 (2 total)
Organization structure
OtherNon-profit
Incorporated
Jul 1, 2016 in MT
Enrollment address
301 W 7TH Ave
Big Timber, MT 59011-7695
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Pioneer Medical CenterCCN 271313 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: arussell4@pmcmt.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chad W Miller Individual Corporate DirectorBoard Member Jan 1, 2021
Ian D Peterson Individual Corporate OfficerCeo Nov 30, 2020
W-2 Managing EmployeeCeo Nov 30, 2020
William E Wallace Individual Corporate DirectorBoard Member Jan 1, 2021
Brendan a Burns Individual Corporate OfficerChief Financial &Operations Officer Feb 7, 2022
W-2 Managing EmployeeAd; Feb 7, 2022
Matthew J McManamen Individual Corporate DirectorBoard Member Jun 30, 2022
Pioneer Medical Center Organization, Big Timber, MT Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Brandi Schweigert Individual Corporate DirectorBoard Member Jan 1, 2021
Corey Austin Individual Corporate DirectorBoard Member Jul 6, 2023
Patrick McConnell Individual Corporate OfficerCfo Jan 1, 2021
Daniel Wichman Individual Corporate DirectorBoard Member Jun 1, 2024
Stacy Donald Individual Corporate DirectorBoard Member Jun 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pioneer Medical CenterBig Timber, MT, CCN 27Z313 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 271523 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 273407 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1003939190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1228",
            "address_2": "301 WEST 7TH AVENUE, SUITE CAH",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590111228",
            "telephone_number": "406-932-4603",
            "fax_number": "406-932-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 7TH AVE",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590117893",
            "telephone_number": "406-932-4603",
            "fax_number": "406-932-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-932-4603"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15731",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60172",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411749",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Medical Center CAH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Medical Center CAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Timber, MT

Sources for this page

Verify at the official NPI Registry.