Plains Hospital Corporation
Organization Active NPI Rural Health Clinic/Center · Plains, MT
NPI 1205948353 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1205948353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 40608 (MT)
- Legal business name
- PLAINS HOSPITAL CORPORATION
- Practice address
- 10 Kruger Rd
Plains, MT 59859-0768 - Phone
- (406) 826-4921
- Fax
- (406) 826-4811
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PLAINS HOSPITAL CORPORATION
Authorized official
- Name
- Dr. Gregory S Hanson, MD
- Title
- President/Ceo
- Phone
- (406) 826-4814
Owners & managing parties with NPI records 1
-
Gregory Scott Hanson, M.D.
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Practitioners 29
-
Joshua Allday, PCLC, LAC
-
Edward A Amberg, PA-C
-
Michelle M Bailey, PA-C
-
Becky Sue Christensen, APRN
-
Sarah A Cruse, FNP-BC
-
Katrina F Culmer, DO
-
John N Drye, M.D.
-
Gregory Scott Hanson, M.D.
-
Randy Holland, PA-C
-
Richard M Ingle, MD
-
Timothy John Johnston, CRNA
-
Alicia Eileen Knecht, DNP, FNP-C
-
Nicholas Pierre Lawyer, PA-C
-
Benny L Lindeman, PAC
-
Randall Mack, PA-C
-
Gregg Wendell Schellack, D.O.
-
Joshua Lee Spake, D.O.
-
Barbara Steward, DO
-
Karyn Thornton, PAC
-
Timothy W. Thornton, PA-C
-
Jeanne H Williams, M.D., PH.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Rural health clinic certification: CCN 273997
- Legal name
- PLAINS HOSPITAL CORPORATION
- Doing business as
- CLARK FORK VALLEY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 17, 2002
- Last certification
- Apr 1, 2025
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 17, 2002 in MT
- Enrollment address
- 10 Kruger Rd
Plains, MT 59859-9271 - Related CCNs
- 271323
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory S Hanson |
Corporate Officer |
Jan 1, 2000 | |
| Corporate Director |
Apr 6, 2008 | ||
| W-2 Managing Employee |
Jan 1, 1994 | ||
| Erin McCarthy |
Corporate Director |
Aug 1, 2012 | |
| Michael R Baxter |
Corporate Director |
Jan 1, 2016 | |
| Erika Lawyer |
Corporate Director |
Jan 1, 2013 | |
| Virginia Holland |
Corporate Director |
Jun 1, 2017 | |
| Bina Eggensperger |
Corporate Director |
Jan 1, 2006 | |
| Carla a Neiman |
Corporate Officer |
Oct 3, 1994 | |
| W-2 Managing Employee |
Oct 3, 1994 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Clark Fork Valley Hospital Long Term Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Jan 17, 1971 Jan 17, 1971 Jan 17, 1971 Jan 17, 1971 |
| Clark Fork Valley Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 14, 1993 |
| Thompson Falls Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 14, 1993 |
| Hot Springs Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 14, 1993 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060206000724 | MT | Part a Provider - Rural Health Clinic | 4183691132 | Practice locations: Plains, MT |
National Provider Directory
- Tax ID family
- John Drye MD
- Part of
- John Drye MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 40608 | MT | Yes |
Addresses
Primary practice location
10 Kruger Rd
Plains, MT 59859-0768
Mailing address
10 Kruger Rd
PO Box 768
Plains, MT 59859-9506
Phone (406) 826-4921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66502 | Other | MT | BLUE CROSS/MONTANA |
| 0720409 | Medicaid | MT |
Other names
- Plains Family Medicine
Other providers in Plains, MT
- Elizabeth Fay Ordelheide
- Plains Chiropractic PC
- Plains Community Ambulance Inc
- Plains Drug Inc
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
- Plains Hospital Corporation
All providers in Plains, 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 Jul 28, 2016. 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.