NPIMap

Organization Active NPI

Frances Mahon Deaconess Hospital

  • Emergency Medicine Physician
  • Glasgow, MT
National Provider Identifier
1639117013
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FRANCES MAHON DEACONESS HOSPITAL
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3500
Fax
(406) 228-3533
NPI assigned
Jun 4, 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) 228-3660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Emergency Medicine Physician 207P00000X NU Primary
Cytopathology Physician 207ZC0500X NU

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
O20031111000918 MT Part B Supplier - Clinic/Group Practice 3173430949 Receives reassigned benefits from 42 practitioners
2 other NPIs on this enrollment
Practice locations: Glasgow, MT

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

221 5th Ave S
Glasgow, MT 59230
Phone (406) 228-3400

Practitioners & affiliated clinicians

Practitioners 63

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 63

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1639117013",
    "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": "406-228-3533"
        },
        {
            "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": "406-228-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCES MAHON DEACONESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "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": "406-228-3660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.