Pioneer Medical Center
Organization
Active NPI
Community Based Hospice Care Agency · Big Timber, MT
NPI 1679630784 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1679630784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 10909 (MT)
- Legal business name
- PIONEER MEDICAL CENTER
- Practice address
- 301 W 7TH Ave
Big Timber, MT 59011-7893
- Phone
- (406) 932-4603
- Fax
- (406) 932-5468
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ian Peterson
- Title
- Ceo
- Phone
- (406) 932-4603
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 5
Organizations that report the same tax identification number in the National Provider Directory.
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Chelsey Clark, PA-C, RDN, CDCES,CLC
Physician Assistant · Big Timber, MT · NPI 1699172049
-
Kary J Engle, PA-C
Physician Assistant · Livingston, MT · NPI 1235246646
-
Anna M Mitchell, APRN
Family Nurse Practitioner · Plains, MT · NPI 1417471640
-
Sarah Elizabeth Stilwill, MD
Diagnostic Radiology Physician · Billings, MT · NPI 1902078751
-
Sarah Walton, FNP
Family Nurse Practitioner · Big Timber, MT · NPI 1558428656
-
Dustin D Eck, DO
Family Medicine Physician · Durant, OK · NPI 1861044851
-
Robert W Gneiting, FNP
Family Nurse Practitioner · Unalaska, AK · NPI 1225105919
-
Paul F Hunt, M.D.
Diagnostic Radiology Physician · Saint Paul, MN · NPI 1841279973
-
Chadwick T. Johnson, ACNP
Acute Care Nurse Practitioner · College Station, TX · NPI 1821010109
-
Stephen A Roberts, D.O.
Family Medicine Physician · Tuscaloosa, AL · NPI 1063416667
-
Ashley Lynn Russell, FNP-C
Family Nurse Practitioner · Vernal, UT · NPI 1497402887
Medicare Care Compare: Hospice
- Listed as
- Pioneer Medical Center CCN 271523
- Ownership
- Other
- Certified
- Oct 30, 2000
- Medicare certification status
- Active (Provider of Services file)
Source: Medicare Care Compare.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Hospice certification: CCN 271523
- Legal name
- PIONEER MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 30, 2000
- Last certification
- Mar 24, 2017
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 1, 2016 in MT
- Enrollment address
- 301 W 7TH Ave
Big Timber, MT 59011-7893
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|
Chad W Miller
Individual
|
Corporate Director
Board Member |
Jul 1, 2016 |
|
Ian D Peterson
Individual
|
Corporate Officer
Ceo |
Nov 30, 2020 |
|
W-2 Managing Employee
Ceo |
Nov 30, 2020 |
|
William E Wallace
Individual
|
Corporate Director |
Jan 1, 2021 |
|
Brendan a Burns
Individual
|
Corporate Officer
Chief Financial &Operations Officer |
Feb 7, 2022 |
|
W-2 Managing Employee
Ad; |
Feb 7, 2022 |
|
Matthew J McManamen
Individual
|
Corporate Director |
Jul 1, 2022 |
|
Pioneer Medical Center
Organization · Big Timber, MT
Non-profit |
5% Or Greater Direct Ownership Interest |
Jul 1, 2016 |
100% |
Brandi Schweigert
Individual
|
Corporate Director
Director |
Jan 1, 2021 |
|
Corey Austin
Individual
|
Corporate Director
Board Member |
Jul 6, 2023 |
|
Daniel Wichman
Individual
|
Corporate Director
Board Member |
Jun 1, 2024 |
|
Stacy Donald
Individual
|
Corporate Director
Board Member |
Jun 1, 2024 |
|
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|
Pioneer Medical Center
Big Timber, MT · CCN 271313 |
Hospital |
5% Or Greater Direct Ownership Interest (100%) |
Jul 1, 2016 |
Pioneer Medical Center
Big Timber, MT · CCN 27Z313 |
Hospital |
5% Or Greater Direct Ownership Interest (100%) |
Jul 1, 2016 |
Pioneer Medical Center
Big Timber, MT · CCN 273407 |
Rural health clinic |
5% Or Greater Direct Ownership Interest (100%) |
Jul 1, 2016 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|
| Jul 1, 2016 |
Change of Ownership
This provider was the buyer |
Hearts and Hands Hospice
CCN 271523 · MT · NPI 1679630784 |
| Jul 1, 2016 |
Change of Ownership
This provider was the seller |
Pioneer Medical Center
CCN 271523 · MT · NPI 1679630784 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20161107002137 |
MT |
Part a Provider - Hospice |
6507159514 |
Practice locations: Big Timber, MT |
National Provider Directory
- Tax ID family
- Pioneer Medical Center (6 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Community Based Hospice Care Agency |
251G00000X |
10909 |
MT |
Yes |
Addresses
Primary practice location
301 W 7TH Ave
Big Timber, MT 59011-7893
Mailing address
PO Box 1228
Big Timber, MT 59011-1228
Phone (406) 932-4603
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 0750256 | Medicaid | MT | |
Other names
- Hearts and Hands Hospice Doing business as
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. 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.
Verify at the official NPI Registry.