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Granite County Hospital District

Organization Active NPI Rural Health Clinic/Center · Philipsburg, MT

NPI 1023130754 · NPPES record last updated Sep 21, 2011

Key facts

NPI
1023130754
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
10614 (MT)
Legal business name
GRANITE COUNTY HOSPITAL DISTRICT
Practice address
310 Sansome St
Philipsburg, MT 59858-0729
Phone
(406) 859-3271
Fax
(406) 859-3271
NPI assigned
Apr 4, 2007
Organization subpart
No

Authorized official

Name
Mr. Jeffrey L Prater
Title
C E O
Phone
(406) 859-3271

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 4

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

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

Facilities with the same owner 1

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Rural health clinic certification: CCN 273400

Legal name
GRANITE COUNTY HOSPITAL DISTRICT
Doing business as
GRANITE COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 1, 2002
Last certification
Jun 5, 2023
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
310 S Sansome St
Philipsburg, MT 59858-0729
Related CCNs
271303

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Brian Huso
Individual 		Operational/Managerial Control
Ceo		 Jul 1, 2023 100%
Granite County Hospital District
Organization · Philipsburg, MT 		5% Or Greater Direct Ownership Interest Jan 1, 2009 100%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Granite County Medical Center
Philipsburg, MT · CCN 271303		 Hospital Other (100%) Jul 1, 2009
Granite County Medical Center
Philipsburg, MT · CCN 27Z303		 Hospital Other (100%) Jul 1, 2009
Drummond Clinic
Drummond, MT · CCN 273404		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2009
Aug 1, 2002

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100914000544 MT Part a Provider - Rural Health Clinic 3678480423 Practice locations: Philipsburg, MT

National Provider Directory

Tax ID family
Granite Co Medical Ctr (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 10614 MT Yes

Addresses

Primary practice location

310 Sansome St
Philipsburg, MT 59858-0729

Mailing address

PO Box 729
310 Sansome St
Philipsburg, MT 59858-0729
Phone (406) 859-3271

Other names

  • Granite County Medical Center Former legal business name

Other providers in Philipsburg, MT

All providers in Philipsburg, MT · Rural Health Clinic/Center in Montana

Sources for this page

Verify at the official NPI Registry.