NPIMap

Organization Active NPI

Rosebud Community Hospital Inc

Doing business as Rosebud Medical Center Rural Health Clinic

  • Rural Health Clinic/Center
  • Forsyth, MT
National Provider Identifier
1164617031
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
Rosebud Medical Center Rural Health Clinic
Practice address
383 North 17TH Ave
Forsyth, MT 59327-0268
Phone
(406) 346-2161
Fax
(406) 349-4247
NPI assigned
Sep 13, 2007
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Mindy Price
Title
Ceo
Phone
(406) 346-4259

Specialties & licenses 1

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

Addresses

Primary practice location

383 North 17TH Ave
Forsyth, MT 59327-0268

Mailing address

Box 268
Forsyth, MT 59327-0268
Phone (406) 346-2161

Other names 1

  • Rosebud Medical Center Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000908 MT Part B Supplier - Clinic/Group Practice 3375454168 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Forsyth, MT
O20071115000543 MT Part A Provider - Rural Health Clinic 3375454168 Practice locations: Forsyth, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164617031. Details of each certification follow.

Rural health clinic certification: CCN 273413

Legal name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
ROSEBUD HEALTH CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 12, 2007
Last certification
Sep 17, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 2, 1980 in MT
Enrollment address
383 N 17TH St
Forsyth, MT 59327-0268
Related CCNs
271327

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jeanne Maciag Individual Corporate DirectorBoard Member Jul 26, 2018
Cherly Schwarzkoph Individual Corporate DirectorBoard Member Jan 1, 2010
Joan Duffield Individual Corporate DirectorBoard Member Jan 29, 2025
Gerald Killen Individual Corporate DirectorBoard Chair Jun 30, 2017
Gayle Holland Individual Corporate DirectorBoard Member Jan 1, 2010
Mindy Price Individual Corporate DirectorBoard of Director Member Jul 1, 2016
W-2 Managing EmployeeCeo Jul 1, 2018 100%
Hunter C Crose Individual W-2 Managing EmployeeMD; Sep 1, 2022
Robert Johnstone Individual Corporate DirectorBoard Member Nov 24, 2020
Robert Lee Individual Corporate DirectorBoard Member Jan 1, 2010
Nancy Nile Individual Corporate DirectorBoard Member Jan 1, 2010

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1164617031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 268",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270268",
            "telephone_number": "406-346-2161",
            "fax_number": "406-346-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 NORTH 17TH AVE",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270268",
            "telephone_number": "406-346-2161",
            "fax_number": "406-349-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-346-4259"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Medical Center Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosebud Medical Center Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, MT

Sources for this page

Verify at the official NPI Registry.