NPIMap

Organization Active NPI

Ruby Valley Hospital

Doing business as Ruby Valley Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Sheridan, MT
National Provider Identifier
1174668164
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10088 Issued in MT
Legal business name
RUBY VALLEY HOSPITAL
Doing business as
Ruby Valley Medical Center
Practice address
321 Madison Street
Sheridan, MT 59749-0336
Phone
(406) 842-5453
Fax
(406) 842-5455
NPI assigned
Feb 20, 2007
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RUBY VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Jim Gillhouse
Title
Ceo
Phone
(406) 842-5453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10088 MT Primary

Addresses

Primary practice location

321 Madison Street
Sheridan, MT 59749-0336

Mailing address

PO Box 336
Sheridan, MT 59749-0336
Phone (406) 842-5453

Other identifiers 2

IdentifierTypeStateIssuer
60642OtherMTBCBS RVH SWING BED COMPON
4101148MedicaidMT

Other names 1

  • Ruby Valley Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000631 MT Part B Supplier - Clinic/Group Practice 6406764018 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
Practice locations: Sheridan, MT
O20071001000242 MT Part A Provider - Critical Access Hospital 6406764018 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174668164. Details of each certification follow.

Hospital certification: CCN 27Z319

Legal name
RUBY VALLEY HOSPITAL
Doing business as
RUBY VALLEY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1956 in MT
Enrollment address
321 Madison St
Sheridan, MT 59749

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Ruby Valley Medical Cli4 organizations share this tax ID, including this one
Part of
Ruby Valley Medical Cli

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Mary Bridsill Individual W-2 Managing EmployeeRadiology Department Manager May 27, 2013
Carol Braach Individual Corporate OfficerSecretary Jul 31, 2008 20%
Corporate DirectorBoard of Trustees Secretary Jul 31, 2008 20%
Billie Jo Rowberry Individual Corporate OfficerCfo Nov 1, 2021
Landon Dybdal Individual 5% Or Greater Indirect Ownership InterestCeo Jun 1, 2019
Corporate OfficerCeo Jun 1, 2019
Ruby Valley Hospital Organization, Sheridan, MT Created for acquisition 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Warren Swager Individual Corporate DirectorBoard Member at Large May 8, 2007 20%
Theodore Woirhaye Individual W-2 Managing EmployeeDirector of Nursing Aug 21, 2005
Kenneth Walsh Individual Corporate OfficerPresident May 9, 2006 20%
Corporate DirectorChairman of the Board May 9, 2006 20%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ruby Valley Medical ClinicSheridan, MT, CCN 273405 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1987
Jan 1, 1987
Jan 1, 1987
Twin Bridges Medical ClinicTwin Bridges, MT, CCN 273409 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2003
Jan 1, 2003
Jan 1, 2003

Owned or controlled facilities with NPI records 2

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

  • Ruby Valley Hospital

    dba Ruby Valley Medical Center

    • Rural Health Clinic/Center
    • Twin Bridges, MT
    • NPI 1336284264

    5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Operational/Managerial Control

    CMS ownership
  • Ruby Valley Hospital

    dba Ruby Valley Medical Center

    • Rural Health Clinic/Center
    • Sheridan, MT
    • NPI 1962547653

    5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1174668164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597490336",
            "telephone_number": "406-842-5453",
            "fax_number": "406-842-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MADISON STREET",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597490336",
            "telephone_number": "406-842-5453",
            "fax_number": "406-842-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUBY VALLEY HOSPITAL",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GILLHOUSE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-842-5453"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "10088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RVH SWING BED COMPON",
            "identifier": "60642",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4101148",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruby Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ruby Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, MT

Sources for this page

Verify at the official NPI Registry.