Central Montana Medical Facilities, Inc
Organization Active NPI Critical Access Hospital · Lewistown, MT
NPI 1790798387 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1790798387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- CENTRAL MONTANA MEDICAL FACILITIES, INC
- Practice address
- 408 Wendell Ave
Lewistown, MT 59457-2261 - Phone
- (406) 535-7711
- Fax
- (406) 535-6392
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Cody Langbehn
- Title
- Ceo
- Phone
- (406) 535-6200
Owners & managing parties with NPI records 8
-
Christopher C Goulet, M.D.
-
Michael E Sura, MD
-
Tamara M Welsh, MD
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Facilities with the same owner 1
Practitioners 228
-
Ireneo Tumali De Guzman, CRNA
-
Dale Hoekema, MD
-
Karen Kaufman, DNP
-
Trent Lott, DPM
-
David A Napoliello, M.D., FACS
-
Gwenna Carie Olson, CRNA, RN
-
Scott Richard Paulsen, M.D.
-
Chelsea Rambo, DO
-
Shanda Speed, CRNA
-
Michael E Sura, MD
-
Jeff D Headrick, MD
-
Daniel Hebert, MD
-
Paul F Hunt, M.D.
-
Raymond Lee, MD
-
Annette Comes, MD
-
Mary Bridget Galka, DO, MPH
-
Amie Nicole Baguer, FNP
Affiliated clinicians 97
-
Amie Nicole Baguer, FNP
-
Jamie Barnes, PA-C
-
Lisa Barnett Bland, M.D.
-
Gabriel Blomquist, P.A.
-
David A Boes, MD
-
Holly Brehm, PA
-
Todd E. Cameron, DO
-
Jorge Luis Castriz, M.D.
-
David Christianson, M.D.
-
Amber Lee Close, APRN
-
Annette Comes, MD
-
Eliad T Culcea, MD
-
Ireneo Tumali De Guzman, CRNA
-
Kimberlee Dawne Decker, DNP APRN FNP-BC
-
Penny Denning, PA-C
-
Jacob Paul Forke, M.D.
-
Taylor Frye, PA
-
Mary Bridget Galka, DO, MPH
-
Michael Bruce Ganz, M.D.
-
Christopher C Goulet, M.D.
Medicare Care Compare: Hospital
- Listed as
- Central Montana Medical Center
- 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 271345
- Legal name
- CENTRAL MONTANA MEDICAL FACILITIES INC
- Doing business as
- CENTRAL MONTANA MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 31, 2007
- Last certification
- Apr 27, 2022
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 20, 1969 in MT
- Enrollment address
- 408 Wendell Avenue
Lewistown, MT 59457-2261
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Ashley Morris |
Corporate Director | Oct 7, 2019 | |
| Christopher C Goulet |
Corporate Director | Oct 4, 2022 | |
| Jennifer Saunders |
Corporate Director | Feb 4, 2025 | |
| Megan Skiff |
Corporate Director | Jan 6, 2026 | |
| Michael E Sura |
Corporate Director | May 26, 2015 | |
| Cody Edward Langbehn |
Corporate Officer |
Aug 31, 2020 | |
| W-2 Managing Employee |
Aug 31, 2020 | ||
| Joe Eckhardt |
Corporate Director | Feb 4, 2025 | |
| Megan Bartel |
Corporate Director | Jun 7, 2022 | |
| Amy Miller |
Corporate Officer | Feb 4, 2025 | |
| Tamara M Welsh |
Corporate Director | Oct 5, 2015 | |
| Vicki Plagenz |
Corporate Director | Feb 4, 2025 | |
| Ryan D'Autremont |
Corporate Director | Oct 5, 2020 | |
| Central Montana Medical Facilities Inc |
Operational/Managerial Control | Aug 28, 2007 | |
| Melody Montgomery |
Corporate Director | Oct 5, 2020 | |
| Karen Durbin |
Corporate Director | Oct 16, 2018 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Central Montana Medical Center |
Hospital | Operational/Managerial Control | Dec 31, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071019000239 | MT | Part a Provider - Critical Access Hospital | 5395639793 |
Receives reassigned benefits from 172 practitioners 1 other NPI on this enrollment Practice locations: Lewistown, MT |
| O20180711002383 | MT | MDPP Supplier - in-Person MDPP Supplier | 5395639793 | Practice locations: Lewistown, MT |
National Provider Directory
Locations
629 N E Main
Lewistown, MT 59457
Phone (406) 538-6307
408 Wendell Ave
Ste 3
Lewistown, MT 59457
Phone (406) 535-6292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
408 Wendell Ave
Lewistown, MT 59457-2261
Mailing address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-7711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410163 | Medicaid | MT | |
| 00342 | Other | MT | BCBS PROVIDER NUMBER |
Other names
- Central Montana Medical Center
Other providers in Lewistown, MT
- Katherine G Calovis
- Pattie Carr
- Alicia Mae Case
- Adrienne Castillo
- Central Montana Hearing & Audiology, P.C.
- Central Montana Medical Facilities, Inc.
- Central Montana Medical Facilities, Inc.
- Central Montana Medical Facilities, Inc.
- Central Montana Medical Facilities, Inc.
- Central Montana Medical Facilities, Inc.
All providers in Lewistown, MT · Critical Access Hospital in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. 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.