NPIMap

Organization Active NPI

Big Sandy Medical Center Inc

  • Rural Health Clinic/Center
  • Big Sandy, MT
National Provider Identifier
1609954759
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BIG SANDY MEDICAL CENTER INC
Practice address
225 McNamara Ave
Big Sandy, MT 59520-7761
Phone
(406) 378-2189
NPI assigned
Nov 2, 2006
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Amber M Terry
Title
Director of Revenue & Finance
Phone
(406) 945-4284

Specialties & licenses 1

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

Addresses

Primary practice location

225 McNamara Ave
Big Sandy, MT 59520-7761

Mailing address

PO Box 530
Big Sandy, MT 59520-0530
Phone (406) 378-2188

Other practice location 1

166 Montana Ave E
Big Sandy, MT 59520-7754
Phone (406) 378-2189

Other identifiers 3

IdentifierTypeStateIssuer
064332OtherMTBCBS UB
0720052MedicaidMT
009901OtherMTBCBS HCFA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031219000445 MT Part B Supplier - Clinic/Group Practice 8123925989 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Big Sandy, MT
O20100514000917 MT Part A Provider - Rural Health Clinic 8123925989 Practice locations: Big Sandy, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609954759. Details of each certification follow.

Rural health clinic certification: CCN 273989

Legal name
BIG SANDY MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 1998
Last certification
Mar 13, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1966 in MT
Enrollment address
166 Montana Ave E
Big Sandy, MT 59520-7754
Related CCNs
271311

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Anna Bold Individual Corporate Director Oct 1, 2019
Amber Terry Individual Corporate Director Jan 1, 2025
Ann Quinn Individual Corporate Director Oct 1, 2019
Ronald Wiens Individual W-2 Managing EmployeeAd; Jun 1, 2022
Operational/Managerial ControlCeo Jun 1, 2022
Matthew Gullickson Individual Corporate Director Mar 1, 2025
Carissa Bergren Individual Corporate Director Aug 1, 2025
Brittany Sherburn Individual W-2 Managing EmployeeBusiness Office Manager Oct 1, 2023

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Big Sandy Medical Center IncBig Sandy, MT, CCN 271311 Hospital Operational/Managerial Control Feb 13, 1989

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 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1609954759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595200530",
            "telephone_number": "406-378-2188",
            "fax_number": "406-378-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MCNAMARA AVE",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595207761",
            "telephone_number": "406-378-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Montana Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Sandy",
            "state": "MT",
            "postal_code": "595207754",
            "country_code": "US",
            "telephone_number": "406-378-2189",
            "fax_number": "406-378-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIG SANDY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE & FINANCE",
        "authorized_official_telephone_number": "406-945-4284"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UB",
            "identifier": "064332",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720052",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HCFA",
            "identifier": "009901",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Sandy, MT

Sources for this page

Verify at the official NPI Registry.