NPIMap

Organization Active NPI

Rosebud Community Hospital Inc

Doing business as Rosebud Health Care Center

  • Critical Access Hospital
  • Forsyth, MT
National Provider Identifier
1194827451
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11036 Issued in MT
Legal business name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
Rosebud Health Care Center
Practice address
383 North 17TH Ave
Forsyth, MT 59327-0268
Phone
(406) 346-4236
NPI assigned
Sep 5, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11036 MT Primary
Skilled Nursing Facility 314000000X 11036 MT

Addresses

Primary practice location

383 North 17TH Ave
Forsyth, MT 59327-0268

Mailing address

PO Box 268
Forsyth, MT 59327-0268

Other identifiers 1

IdentifierTypeStateIssuer
412862MedicaidMT

Other names 1

  • Rosebud Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT3 enrollments

Enrollment records 3

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
This NPI is an additional NPI on the enrollment
Practice locations: Forsyth, MT
O20061104000170 MT Part A Provider - Critical Access Hospital 3375454168 Receives reassigned benefits from 20 practitioners
Practice locations: Forsyth, MT
O20071001000672 MT Part A Provider - Critical Access Hospital 3375454168 1 other NPI on this enrollment
Practice locations: Forsyth, MT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194827451. Details of each certification follow.

Hospital certification: CCN 271327

Legal name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
ROSEBUD HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2002
Last certification
Feb 1, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
383 N 17TH Ave
Forsyth, MT 59327-7971
Other Hospital Practice Location

Hospital certification: CCN 27Z327

Legal name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
ROSEBUD HEALTH CARE CENTER
Organization structure
CorporationNon-profit
Enrollment address
383 N 17TH Ave
Forsyth, MT 59327-7971
Other Hospital Practice Location

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 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Rosebud Health Care CenterCCN 271327 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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 Director Jul 26, 2018
Corporate DirectorBoard Member Jul 26, 2018
Cherly Schwarzkoph Individual Corporate Director Jun 1, 2010
Corporate DirectorBoard Member Jun 1, 2010
Gerald Killen Individual Corporate Director Jun 22, 2016
Corporate DirectorBoard Member Jun 22, 2016
Gayle Holland Individual Corporate Director Jun 1, 2007
Corporate DirectorBoard Member Jun 1, 2007
Mindy Price Individual 5% Or Greater Direct Ownership Interest Jul 1, 2018
W-2 Managing EmployeeCeo Jul 1, 2018
Operational/Managerial ControlCeo Jul 1, 2018 100%
Robert Lee Individual Corporate Director Jun 1, 2008
Corporate DirectorBoard Member Jun 1, 2008
William C Anderson Individual Corporate Director Jun 1, 2008
Clay Redding Individual Corporate Director Mar 23, 2016
Celeste Rohrich Individual Corporate Director Sep 26, 2018
Nancy Nile Individual Corporate Director Jun 1, 2012
Corporate DirectorBoard Member Jun 1, 2012
Dan Watson Individual Corporate DirectorBoard Member Sep 25, 2024
Hunter C Crose Individual W-2 Managing EmployeeMD; Sep 1, 2022
Robert Johnstone Individual Corporate DirectorBoard Member Nov 24, 2020

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1194827451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270268"
        },
        {
            "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": "406-346-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "11036",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "11036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412862",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosebud Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, MT

Sources for this page

Verify at the official NPI Registry.