Organization Active NPI

Phillips County Hospital Assn

  • Critical Access Hospital
  • Malta, MT
National Provider Identifier
1255476388
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10813 Issued in MT
Legal business name
PHILLIPS COUNTY HOSPITAL ASSN
Practice address
311 South 8TH Ave East
Malta, MT 59538
Phone
(406) 654-1100
Fax
(406) 654-2876
NPI assigned
Feb 20, 2007
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Susan Marie Bibbs
Title
Director of Revenue
Phone
(406) 654-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X 10813 MT Primary

Addresses

Primary practice location

311 South 8TH Ave East
Malta, MT 59538

Mailing address

311 S 8TH Ave E
Malta, MT 59538-8978
Phone (406) 654-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000078 MT Part A Provider - Critical Access Hospital 5092757245 Practice locations: Malta, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255476388. Details of each certification follow.

Hospital certification: CCN 27Z312

Legal name
PHILLIPS COUNTY HOSPITAL ASSN
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 1944 in MT
Enrollment address
311 S 8TH Ave E
Malta, MT 59538-8978
Other Hospital Practice Location

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).

National Provider Directory

National Provider Directory
Tax ID family
Phillips County Hospita5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Josephine Tharp Individual 5% Or Greater Direct Ownership Interest Nov 1, 2022
Operational/Managerial ControlCeo Nov 1, 2022 5%
Susy Johnson Individual Corporate Director Nov 1, 2022

Practitioners & affiliated clinicians

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": "1779753600000",
    "number": "1255476388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S 8TH AVE E",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "595388978",
            "telephone_number": "406-654-1100",
            "fax_number": "406-654-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SOUTH 8TH AVE EAST",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "59538",
            "telephone_number": "406-654-1100",
            "fax_number": "406-654-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS COUNTY HOSPITAL ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "406-654-1100"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, MT

Sources for this page

Verify at the official NPI Registry.