NPIMap

Organization Active NPI

Chouteau County District Hospital

  • Rural Health Clinic/Center
  • Fort Benton, MT
National Provider Identifier
1407989593
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHOUTEAU COUNTY DISTRICT HOSPITAL
Practice address
1518 Chouteau St
Fort Benton, MT 59442-9003
Phone
(406) 622-5485
Fax
(406) 622-5670
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Ms. Janice Woodhouse
Title
Coo
Phone
(406) 622-3331

Specialties & licenses 1

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

Addresses

Primary practice location

1518 Chouteau St
Fort Benton, MT 59442-9003

Mailing address

PO Box 249
Fort Benton, MT 59442-0249
Phone (406) 622-5485

Other practice location 1

1203 15th St
Fort Benton, MT 59442-0249
Phone (406) 622-5485

Other identifiers 1

IdentifierTypeStateIssuer
720174MedicaidMT

Other names 1

  • Benton Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the seller Benefis Medical ClinicCCN 273985, MT, NPI 1164102794

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1407989593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "594420249",
            "telephone_number": "406-622-5485",
            "fax_number": "406-622-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 CHOUTEAU ST",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "594429003",
            "telephone_number": "406-622-5485",
            "fax_number": "406-622-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 15th St",
            "address_purpose": "LOCATION",
            "city": "Fort Benton",
            "state": "MT",
            "postal_code": "594420249",
            "country_code": "US",
            "telephone_number": "406-622-5485",
            "fax_number": "406-622-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOUTEAU COUNTY DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "WOODHOUSE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "406-622-3331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720174",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Benton, MT

Sources for this page

Verify at the official NPI Registry.