NPIMap

Organization Active NPI

Memorial Hospital Association

Doing business as Beartooth Billings Clinic

  • Critical Access Hospital
  • Red Lodge, MT
National Provider Identifier
1336119338
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10344 Issued in MT
Legal business name
MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Beartooth Billings Clinic
Practice address
2525 North Broadway
Red Lodge, MT 59068-0590
Phone
(406) 446-2345
Fax
(406) 446-0084
NPI assigned
Jan 24, 2006
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Ms. Abby Lotz
Title
Ceo
Phone
(406) 446-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10344 MT Primary

Addresses

Primary practice location

2525 North Broadway
Red Lodge, MT 59068-0590

Mailing address

PO Box 590
Red Lodge, MT 59068-0590
Phone (406) 446-2345

Other identifiers 2

IdentifierTypeStateIssuer
0000060732OtherMTBC/BS CRITICAL ACCESS HOS
0412760MedicaidMT

Other names 1

  • Beartooth Billings Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000636 MT Part A Provider - Critical Access Hospital 1951375849 Receives reassigned benefits from 59 practitioners
Practice locations: Red Lodge, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336119338. Details of each certification follow.

Hospital certification: CCN 271326

Legal name
MEMORIAL HOSPITAL ASSOCIATION
Doing business as
BEARTOOTH BILLINGS CLINIC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Apr 27, 2023
Beds
10
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 13, 1945 in MT
Enrollment address
2525 N Broadway Ave
Red Lodge, MT 59068-9222
Other Hospital Practice Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Beartooth Billings ClinicCCN 271326 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jortiz@beartoothbillingsclinic.cernerdirect.com
  • Direct secure messaging: tohl@beartoothbillingsclinic.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Sarah Ewald Individual Corporate Director Apr 1, 2014
Richard Fellows Individual Corporate Director Apr 1, 2014
Steven J Muth Individual Corporate Director Nov 18, 2010
Sharon Norby Individual Corporate OfficerChief Quality Officer Nov 18, 2010
Troy Kane Individual Corporate Director Jun 22, 2018
William B Oley Individual Corporate DirectorChief of Staff Apr 1, 2018
Kelly Heaton Individual Corporate Director Jun 22, 2018
Edmund James Duncan Individual Corporate Director Nov 18, 2010
George Clow Individual Corporate Director Nov 18, 2010
Guy R Schmidt Individual Corporate Director Jun 22, 2018
Abby Lotz Individual Corporate OfficerCeo Oct 1, 2021
John Crocker Individual Corporate DirectorBoard of Directors Jun 22, 2018
Steve Smith Individual Corporate Director Jun 22, 2018
Brandi Mains Individual W-2 Managing Employee Nov 18, 2010

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Beartooth Billings ClinicRed Lodge, MT, CCN 27Z326 Hospital Operational/Managerial Control Nov 18, 2010

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 73

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 73

Affiliated clinicians 91

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

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1336119338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590680590",
            "telephone_number": "406-446-2345",
            "fax_number": "406-446-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NORTH BROADWAY",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590680590",
            "telephone_number": "406-446-2345",
            "fax_number": "406-446-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "LOTZ",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-446-2345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS CRITICAL ACCESS HOS",
            "identifier": "0000060732",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412760",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beartooth Billings Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beartooth Billings Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Lodge, MT

Sources for this page

Verify at the official NPI Registry.