NPIMap

Organization Active NPI

Frances Mahon Deaconess Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Glasgow, MT
National Provider Identifier
1487768974
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10542 Issued in MT
Legal business name
FRANCES MAHON DEACONESS HOSPITAL
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3500
Fax
(406) 228-3680
NPI assigned
Aug 19, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mrs. Cami Kalinski
Title
Director of Financial Services
Phone
(406) 228-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10542 MT Primary

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2604

Mailing address

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FMDH@direct-address.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000082 MT Part A Provider - Critical Access Hospital 3173430949 Practice locations: Glasgow, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487768974. Details of each certification follow.

Hospital certification: CCN 27Z316

Legal name
FRANCES MAHON DEACONESS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 1914 in MT
Enrollment address
621 3Rd St S
Glasgow, MT 59230-2604

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
Frances Mahon Deac Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Angela Page Individual Corporate Director Jul 1, 2025
Nichole Bergtoll Individual Corporate Director Jul 1, 2025
Camilia Kalinski Individual W-2 Managing EmployeeCfo Oct 28, 2002
Brianne Capdeville Individual Corporate Director Jul 1, 2020
Dirk Markle Individual Corporate Director Jul 1, 2024
Connie Brunelle Individual W-2 Managing Employee Feb 1, 2015
Susan Johnson Individual W-2 Managing Employee Nov 1, 2019
Gordon L Bell Individual Corporate Director Jul 1, 2023
Nickolas Dirkes Individual Corporate Officer Oct 1, 2022
W-2 Managing EmployeeCeo Oct 1, 2022
Cami Graham Individual Corporate Director Jul 1, 2021
Marisa Sather Individual Corporate Director Jan 29, 2020
Stanley Ozark Individual Corporate Director Nov 29, 2017
Patrick Menge Individual Corporate Director Nov 29, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1487768974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3500",
            "fax_number": "406-228-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3500",
            "fax_number": "406-228-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCES MAHON DEACONESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "KALINSKI",
        "authorized_official_first_name": "CAMI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "406-228-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "10542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FMDH@direct-address.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "621 3rd St S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

Verify at the official NPI Registry.