Community Hospital of Anaconda
Organization Active NPI Surgery Physician · Anaconda, MT
NPI 1639345341 · NPPES record last updated May 2, 2008
Key facts
- NPI
- 1639345341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 10442 (MT)
- Legal business name
- COMMUNITY HOSPITAL OF ANACONDA
- Practice address
- 401 W Pennsylvania St
Anaconda, MT 59711-1931 - Phone
- (406) 563-8528
- NPI assigned
- May 2, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HOSPITAL OF ANACONDA
Authorized official
- Name
- Alice R Cortright
- Title
- Director PT Financial Services
- Phone
- (406) 563-8528
Owners & managing parties with NPI records 2
-
Fredrick J Bartoletti, M.D.
-
Kira A. Conn, MD
Other NPIs on the same Medicare enrollment 11
Related certifications (CCN) 1
Practitioners 21
-
Fredrick J Bartoletti, M.D.
-
Katelyn Rose Briggs, DNP, FNP-C
-
Maura Elaine Deshaw, PA-C
-
Steven Richard Ecklund, M.D.
-
Kirstie Jenae Gorthy, CRNA
-
John Ryan Means, MD
-
Annie O. Morrison, M.D.
-
Betty J Nelson, CRNA
-
Dana A Osborne, M.D.
-
Emily Grace Owen, MD
-
Jonathan B Pine, DO
-
Matthew G Silva, D.O.
-
Natalie Como, MD
-
Jacob Payne Smith, CRNA
Affiliated clinicians 120
-
Ryan D Adams, MD
-
Heide Lynn Applegate, FNP
-
Fredrick J Bartoletti, M.D.
-
Matthew Barton, PA-C
-
Anna S Beers, MD
-
Serena Zephyr Brewer, D.O
-
Katelyn Rose Briggs, DNP, FNP-C
-
Jill Dee Buck, MSN, PMHNP-BC
-
Jesse A Cole, MD
-
Kira A. Conn, MD
-
Nathan Cook, M.D.
-
Hunter C Crose, MD
-
Daniel Sean Curran, FNP
-
Katie E Dawson, MD
-
Maura Elaine Deshaw, PA-C
-
Jennifer Rae Doty, P.A.-C
-
Carey Downey, MD
-
Lori Lee Drumm, D.O.
Medicare Care Compare: Hospital
- Listed as
- Community Hospital of Anaconda
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Hospital certification: CCN 271335
- Legal name
- COMMUNITY HOSPITAL OF ANACONDA
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2003
- Last certification
- Jul 20, 2023
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 13, 1969 in MT
- Enrollment address
- 401 W Pennsylvania Ave
Anaconda, MT 59711-1931
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Tricia H Wagner |
W-2 Managing Employee |
Jan 1, 2022 | |
| Audrey J Aspholm |
Corporate Director |
Jan 1, 2018 | |
| Freddy J Bartoletti |
Corporate Director |
Sep 1, 2016 | |
| Lee Ann Bartoletti |
Corporate Director |
Jan 1, 2005 | |
| Christine M Connors |
Corporate Director |
Jan 1, 2018 | |
| Kristy R McKay |
Corporate Director |
Jan 1, 2018 | |
| Stephanie J Denham |
Corporate Officer |
Jan 1, 2023 | |
| Kira Ann Conn |
Corporate Director |
Jan 1, 2023 | |
| Stan L Blaz |
Corporate Director |
Sep 1, 1999 | |
| Margaret I Hickey Boynton |
Corporate Officer |
Mar 1, 2005 | |
| William P Finnegan |
Corporate Director |
Apr 1, 2022 | |
| Jamie L Johnson |
Corporate Officer | Dec 1, 2005 | |
| Erik Swanson |
Corporate Director |
Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030507000045 | MT | Part a Provider - Critical Access Hospital | 8123938974 |
Receives reassigned benefits from 106 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anaconda, MT |
| O20031119000745 | MT | Part B Supplier - Clinic/Group Practice | 8123938974 |
Receives reassigned benefits from 85 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anaconda, MT; Philipsburg, MT; Butte, MT |
National Provider Directory
- Part of
- Hospital Crna Dept
Locations
401 S Alabama St
Ste 6A
Butte, MT 59701
Phone (406) 782-2329
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 10442 | MT | Yes |
Addresses
Primary practice location
401 W Pennsylvania St
Anaconda, MT 59711-1931
Mailing address
401 W Pennsylvania St
Anaconda, MT 59711-1931
Phone (406) 563-8528
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10442 | Other | MT | STATE LICENSE |
Other names
- Pintler General and Thoracic Surgery
Other providers in Anaconda, MT
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
- Community Hospital of Anaconda
All providers in Anaconda, MT · Surgery Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.