NPIMap

Organization Active NPI

Frances Mahon Deaconess Hospital

Doing business as Deaconess Radiology Service

  • Diagnostic Radiology Physician
  • Glasgow, MT
National Provider Identifier
1013021500
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FRANCES MAHON DEACONESS HOSPITAL
Doing business as
Deaconess Radiology Service
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3500
Fax
(406) 228-3533
NPI assigned
Aug 19, 2006
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCES MAHON DEACONESS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Mr. Del Gienger
Title
Director of Financial Services
Phone
(406) 228-3615

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2604

Mailing address

PO Box 307
Glasgow, MT 59230-0307
Phone (406) 228-3500

Other names 1

  • Deaconess Radiology Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000918 MT Part B Supplier - Clinic/Group Practice 3173430949 Receives reassigned benefits from 42 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glasgow, MT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Frances Mahon Deac Hospital

Locations

621 3rd St S
Ste 1
Glasgow, MT 59230
Phone (406) 228-3500

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1013021500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592300307",
            "telephone_number": "406-228-3500",
            "fax_number": "406-228-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3500",
            "fax_number": "406-228-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCES MAHON DEACONESS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCES MAHON DEACONESS HOSPITAL",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "GIENGER",
        "authorized_official_first_name": "DEL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "406-228-3615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Radiology Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glasgow, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.