NPIMap

Organization Active NPI

Central Montana Medical Facilities, Inc.

Doing business as Central Montana Medical Center Hospice

  • Community Based Hospice Care Agency
  • Lewistown, MT
National Provider Identifier
1609989029
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
10538 Issued in MT
Legal business name
CENTRAL MONTANA MEDICAL FACILITIES, INC.
Doing business as
Central Montana Medical Center Hospice
Practice address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone
(406) 535-6302
Fax
(406) 535-6306
NPI assigned
Aug 17, 2006
Last updated
Jan 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MONTANA MEDICAL FACILITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Cody Langbehn
Title
Ceo
Phone
(406) 535-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 10538 MT Primary

Addresses

Primary practice location

408 Wendell Ave
Lewistown, MT 59457-2261

Mailing address

408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-6302

Other identifiers 2

IdentifierTypeStateIssuer
350130OtherMTBCBS PROVIDER NUMBER
0750040MedicaidMT

Other names 1

  • Central Montana Medical Center Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000456 MT Part A Provider - Hospice 5395639793 Practice locations: Lewistown, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609989029. Details of each certification follow.

Hospice certification: CCN 271512

Legal name
CENTRAL MONTANA MEDICAL FACILITIES INC
Doing business as
HOSPICE OF CENTRAL MONTANA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 7, 1993
Last certification
May 18, 2017
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 20, 1969 in MT
Enrollment address
408 Wendell Ave
Lewistown, MT 59457-2261

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Central MontanaCCN 271512 · All quality measures
Ownership
Non-Profit
Certified
Sep 7, 1993
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
CTL Mt Med Ctr9 organizations share this tax ID, including this one
Part of
CTL Mt Med Ctr

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kathy Ward Individual W-2 Managing Employee Jul 14, 2017
Corry Arntzen Individual Corporate Director Oct 3, 2016
Ashley Morris Individual Corporate Director Oct 7, 2019
Christopher C Goulet Individual Corporate Director Oct 4, 2022
Jennifer Saunders Individual Corporate Director Feb 4, 2025
Michael E Sura Individual Corporate Director May 26, 2015
Cody Edward Langbehn Individual Contracted Managing Employee Aug 31, 2020
Corporate OfficerBoard Appointed Ceo Aug 31, 2020
Joe Eckhardt Individual Corporate Director Feb 4, 2025
Megan Bartel Individual Corporate Director Jun 7, 2022
Amy Miller Individual Corporate Director Feb 4, 2025
Kathleen Rossi Quinones Individual Corporate Director Jan 7, 2025
Tamara M Welsh Individual Corporate Director Oct 5, 2015
Vicki Plagenz Individual Corporate Director Feb 4, 2025
Ryan D'Autremont Individual Corporate Director Oct 5, 2020
Perry Howell Individual Corporate OfficerCfo Oct 21, 2022
W-2 Managing Employee Oct 21, 2022
Melody Montgomery Individual Corporate Director Oct 5, 2020
Karen Durbin Individual Corporate Director Oct 16, 2018

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Central Montana Medical CenterLewistown, MT, CCN 271345 Hospital Operational/Managerial Control Aug 28, 2007
Central Montana Medical CenterLewistown, MT, CCN 27Z345 Hospital Operational/Managerial Control Dec 31, 2007

Owned or controlled facilities with NPI records 3

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

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1609989029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WENDELL AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572261",
            "telephone_number": "406-535-6302",
            "fax_number": "406-535-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WENDELL AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572261",
            "telephone_number": "406-535-6302",
            "fax_number": "406-535-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTANA MEDICAL FACILITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MONTANA MEDICAL FACILITIES, INC.",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "LANGBEHN",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-535-6200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MT",
            "license": "10538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "350130",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0750040",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Montana Medical Center Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Montana Medical Center Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewistown, MT

Sources for this page

Verify at the official NPI Registry.