NPIMap

Organization Active NPI

Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
National Provider Identifier
1801994744
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10657 Issued in MT
Legal business name
LIVINGSTON HEALTHCARE
Practice address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone
(406) 823-6414
Fax
(406) 823-6287
NPI assigned
Sep 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVINGSTON HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Debra Anczak
Title
Chief Executive Officer
Phone
(406) 222-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10657 MT Primary

Addresses

Primary practice location

320 Alpenglow LN
Livingston, MT 59047-8506

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 823-6414

Other identifiers 1

IdentifierTypeStateIssuer
0000024299OtherMTBCBS SWING BED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031122000111 MT Part B Supplier - Clinic/Group Practice 5991613598 Receives reassigned benefits from 96 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardiner, MT; Wilsall, MT; Livingston, MT
O20071001000690 MT Part A Provider - Critical Access Hospital 5991613598 Practice locations: Livingston, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801994744. Details of each certification follow.

Hospital certification: CCN 27Z317

Legal name
LIVINGSTON HEALTHCARE
Doing business as
LIVINGSTON HEALTHCARE SWING BEDS
Organization structure
CorporationNon-profit
Incorporated
Dec 13, 1946 in MT
Enrollment address
320 Alpenglow LN
Livingston, MT 59047-8506
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
John Hobbs MD17 organizations share this tax ID, including this one
Part of
John Hobbs MD

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Bruce E Whitfield Individual Corporate OfficerChief Executive Officer Mar 1, 2023
W-2 Managing Employee Mar 1, 2023
Courtney Konop Individual Corporate Director Nov 12, 2025
Steven W Caldwell Individual Corporate Director Jul 1, 2023
Jennifer Carmody Individual Corporate Director Jul 1, 2023
Matthew Groenig Individual W-2 Managing EmployeeChief Financial Officer Nov 3, 2025
William Lee Kinsey Individual Corporate Director Jun 2, 2021
Michael Atkinson Individual Corporate Director Oct 2, 2024
Elizabeth Lewis Individual Corporate Director Jun 2, 2021
Henry Pinango Individual Corporate Director Jul 1, 2024
Justin K Roberts Individual Corporate Director Jul 1, 2022
Molly Ballard Individual Corporate Director Nov 12, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801994744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-823-6414",
            "fax_number": "406-823-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-823-6414",
            "fax_number": "406-823-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVINGSTON HEALTHCARE",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANCZAK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-222-3541"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SWING BED",
            "identifier": "0000024299",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.