Toole County Hospital

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

PHA-PHI-LIC-429 Issued in MT

Legal business name

TOOLE COUNTY HOSPITAL

Doing business as

Marias Medical Center

Practice address

640 Park Ave
Shelby, MT 59474-1663

Phone

(406) 434-3222

Fax

(406) 434-3213

NPI assigned

Mar 6, 2007

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Cross

Title

Ceo

Phone

(406) 434-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARIAS MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Logan Health - Shelby

  dba Marias Medical Center

  • Critical Access Hospital
  • Shelby, MT
  • NPI 1497742415

  O20060405000726

  Same enrollment

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1023148756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594740915",
            "telephone_number": "406-434-2222",
            "fax_number": "406-434-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PARK AVE",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741663",
            "telephone_number": "406-434-3222",
            "fax_number": "406-434-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOLE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-434-3200"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MT",
            "license": "PHA-PHI-LIC-429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARIAS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toole County (Marias Medical Center)
• Toole County (Marias Medical Center CAH)
• Toole County (Marias Medical Center)
• Toole County (Toole County Health Department)
• Toole County (Marias Medical Center)
• Deborah Elizabeth Treece, PC
• Joni M Walton, NP
• Ariel Joy Weishaar, FNP
• Dylan E Weishaar, DDS
• Jared Weishaar

• Institutional Pharmacy in Shelby, MT
• Providers in Shelby, MT by specialty
• Institutional Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.