Rosebud Community Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Forsyth, MT
NPI 1164617031 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1164617031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ROSEBUD COMMUNITY HOSPITAL INC
- Practice address
- 383 North 17TH Ave
Forsyth, MT 59327-0268 - Phone
- (406) 346-2161
- Fax
- (406) 349-4247
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mindy Price
- Title
- Ceo
- Phone
- (406) 346-4259
Owners & managing parties with NPI records 1
-
Hunter C Crose, MD
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Related certifications (CCN) 1
Practitioners 13
-
Lorraine Ackerman, FNP
-
Hunter C Crose, MD
-
Shelley P Rickett, NURSE PRACTITIONER
-
Kristi Toennis, APRN
-
Roger Derrick Woods, PA-C
-
Brady Scott Ruff, P.A. - C
-
Jeffrey B Chandler, PA-C
-
Kristina E Kleinow, PA-C
-
John L Swanson, PA-C
-
David J. Kaderis, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
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
- Corporation · Non-profit
- Incorporated
- Jan 2, 1980 in MT
- Enrollment address
- 383 N 17TH St
Forsyth, MT 59327-0268 - Related CCNs
- 271327
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Jeanne Maciag |
Corporate Director |
Jul 26, 2018 | |
| Cherly Schwarzkoph |
Corporate Director |
Jan 1, 2010 | |
| Joan Duffield |
Corporate Director |
Jan 29, 2025 | |
| Gerald Killen |
Corporate Director |
Jun 30, 2017 | |
| Gayle Holland |
Corporate Director |
Jan 1, 2010 | |
| Mindy Price |
Corporate Director |
Jul 1, 2016 | |
| W-2 Managing Employee |
Jul 1, 2018 | 100% | |
| Hunter C Crose |
W-2 Managing Employee |
Sep 1, 2022 | |
| Robert Johnstone |
Corporate Director |
Nov 24, 2020 | |
| Robert Lee |
Corporate Director |
Jan 1, 2010 | |
| Nancy Nile |
Corporate Director |
Jan 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MT | Yes |
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
- Rosebud Medical Center Rural Health Clinic
Other providers in Forsyth, MT
- Neil W Donner
- Hannah Pieri
- Alicia Ratcliff
- Shelley P Rickett
- Rosebud Community Hospital
- Rosebud Community Hospital Inc
- Rosebud Community Hospital, Inc
- Rosebud Community Hospital, Inc
- Rosebud Community Hospital, Inc
- Rosebud Community Hospital, Inc
All providers in Forsyth, MT · Rural Health 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 Nov 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.