NPIMap

Organization Active NPI

Pioneer Medical Center

  • Rural Health Clinic/Center
  • Big Timber, MT
National Provider Identifier
1275690208
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PIONEER MEDICAL CENTER
Doing business as
Pioneer Medical Center
Practice address
301 W 7TH Ave
Suite RHC
Big Timber, MT 59011-7893
Phone
(406) 932-4199
Fax
(406) 932-5468
NPI assigned
Jan 2, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Ian Peterson
Title
Ceo
Phone
(406) 932-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

301 W 7TH Ave
Suite RHC
Big Timber, MT 59011-7893

Mailing address

PO Box 1228
Big Timber, MT 59011-1228
Phone (406) 932-4603

Other identifiers 2

IdentifierTypeStateIssuer
66932OtherMTBCBS
0720494MedicaidMT

Other names 1

  • Pioneer Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728001953 MT Part A Provider - Rural Health Clinic 6507159514 Practice locations: Big Timber, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275690208. Details of each certification follow.

Rural health clinic certification: CCN 273407

Legal name
PIONEER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 9, 2003
Last certification
Feb 20, 2025
Ownership / control type
2B
Most recent change of ownership
Jul 1, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2016 in MT
Enrollment address
701 Stock St
Big Timber, MT 59011-1228
Related CCNs
271313

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Chad W Miller Individual Corporate DirectorBoard Member Jul 1, 2016
Ian D Peterson Individual Corporate OfficerCeo Nov 30, 2020
W-2 Managing EmployeeCeo Nov 30, 2020
Wallace C Walker Individual Corporate DirectorBoard Member Jul 1, 2016 1%
William E Wallace Individual Corporate DirectorBoard Member Jan 1, 2021
Matthew J McManamen Individual Corporate DirectorBoard Member Jun 30, 2022
Pioneer Medical Center Organization, Big Timber, MT Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Brandi Schweigert Individual Corporate DirectorBoard Member Jan 1, 2021
Corey Austin Individual Corporate DirectorBoard Member Jul 6, 2023
Patrick McConnell Individual Corporate OfficerCfo Jan 1, 2021
Mary Boe Parker Individual Corporate DirectorDirector of Business Operations Jul 1, 2016
Daniel Wichman Individual Corporate DirectorBoard Member Jun 1, 2024
Stacy Donald Individual Corporate DirectorBoard Member Jun 1, 2024

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Pioneer Medical CenterBig Timber, MT, CCN 271313 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 27Z313 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 271523 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Change-of-ownership history 2

DateEventCounterparty
Jul 1, 2016 Change of OwnershipThis provider was the buyer County of Sweet GrassCCN 273407, MT, NPI 1275690208
Jul 1, 2016 Change of OwnershipThis provider was the seller Pioneer Medical CenterCCN 273407, MT, NPI 1275690208

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1275690208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590111228",
            "telephone_number": "406-932-4603",
            "fax_number": "406-932-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 7TH AVE",
            "address_2": "SUITE RHC",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590117893",
            "telephone_number": "406-932-4199",
            "fax_number": "406-932-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-932-4603"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "66932",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720494",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Timber, MT

Sources for this page

Verify at the official NPI Registry.