Livingston Healthcare
Organization Active NPI Rehabilitation Clinic/Center · Wilsall, MT
NPI 1124660279 · NPPES record last updated Dec 12, 2019
Key facts
- NPI
- 1124660279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- LIVINGSTON HEALTHCARE
- Practice address
- 309 Elliot St N
Wilsall, MT 59086-8501 - Phone
- (406) 578-2222
- NPI assigned
- Oct 10, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- LIVINGSTON HEALTHCARE
Authorized official
- Name
- Debra Anczak
- Title
- Ceo
- Phone
- (406) 823-6411
Owners & managing parties with NPI records 2
-
Henry Pinango, MD
-
Justin Kurt Roberts, M.D.
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 16
Related certifications (CCN) 4
Affiliated clinicians 260
-
Samah Abu Omar, MD
-
Ashley Anderton, PA
-
Shunsuke Aoi, M.D.
-
Coralia Channing Argyrakis, MSN, APRN, FNP-C
-
Kyle Arnet, DO
-
Tennille Cybil Baker, P.A.
-
Brandon S Beamer, M.D.
-
Douglas Bell, MD
-
Sean Bell, M.D.
-
Timothy Benson, PA-C
-
Sunil Bhat, D.O.
-
Mae Leigh Bixby, MD
-
Amy Sue Braaksma, FNP
-
Benjamin M. Braun, M.D.
-
Ashley Marie Brownlee, PA-C
-
Macgregor Brownlow, M.D.
-
Afton J. Bruffey, NP-C
-
Molly Buckland, D.O.
-
Loren P Budge, MD
-
Brynn Burbach, CRNA
-
Elizabeth Brianne Burnett, FNP-C
Medicare Care Compare: Hospital
- Listed as
- Livingston Healthcare
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Hospital certification: CCN 271317
- Legal name
- LIVINGSTON HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Mar 1, 2001
- Last certification
- Sep 14, 2023
- Beds
- 25
- Ownership / control type
- Physician ownership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 24, 1946 in MT
- Enrollment address
- 320 Alpenglow LN
Livingston, MT 59047-8506
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Bruce E Whitfield |
Corporate Officer |
Mar 1, 2023 | |
| W-2 Managing Employee | Mar 1, 2023 | ||
| Courtney Konop |
Corporate Director | Nov 12, 2025 | |
| Steven W Caldwell |
Corporate Director | Jul 1, 2023 | |
| Jennifer Carmody |
Corporate Director | Jul 1, 2023 | |
| Matthew Groenig |
W-2 Managing Employee |
Nov 3, 2025 | |
| William Lee Kinsey |
Corporate Director | Jul 1, 2021 | |
| Michael Atkinson |
Corporate Director | Oct 2, 2024 | |
| Elizabeth Lewis |
Corporate Officer | Jul 1, 2021 | |
| Henry Pinango |
Corporate Director | Jul 1, 2024 | |
| Justin K Roberts |
Corporate Director | Jul 1, 2022 | |
| Molly Ballard |
Corporate Director | Nov 12, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000158 | MT | Part a Provider - Critical Access Hospital | 5991613598 |
Receives reassigned benefits from 63 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Livingston, MT; Gardiner, MT; Wilsall, MT |
National Provider Directory
- Tax ID family
- Livingstonhealthcare Op Lab Xray
- Part of
- Livingstonhealthcare Op Lab Xray
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
309 Elliot St N
Wilsall, MT 59086-8501
Mailing address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 823-6419
Other names
- LHC Shields Valley Therapy
Other providers in Wilsall, MT
All providers in Wilsall, MT · Rehabilitation Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.