Northern Rockies Medical Center, Inc
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Cut Bank, MT
NPI 1831138593 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1831138593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 10272 (MT)
- Legal business name
- NORTHERN ROCKIES MEDICAL CENTER, INC
- Practice address
- 802 2ND St SE
Cut Bank, MT 59427-3329 - Phone
- (406) 873-2251
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Cherie Taylor
- Title
- President
- Phone
- (406) 873-3736
Owners & managing parties with NPI records 4
-
Henry Tucker Clay Jr., M.D.
-
Heidi M. Duncan, MD
-
Steve C Lowery, D.D.S.
Other NPIs with the same Medicare PAC ID 2
Member organizations 2
Related certifications (CCN) 1
Facilities with the same owner 24
Practitioners 26
-
Michael Cathey, M.D.
-
Henry Tucker Clay Jr., M.D.
-
Deanna D Gamroth, LCSW
-
Katie Kelleher, DNP, APRN, FNP-C
-
Ashley Kimmet, LCPC
-
Justin M. Linam, M.D.
-
Valerie Stine, MD
-
Blaine G White, PA-C
-
Scott Alan Alexander, M.D.
-
Tammy Lynn Ballant, ARNP
-
Avery Jade Cox, MD
-
Lance E Flesch, MD
-
Chadwick Garner, M.D.
-
Dana Goforth, FNP
-
Jared Heath Heimbigner, D.O.
-
Kara Heuvelhorst, D.O.
-
Jason Hibbard, M.D.
-
Erik Andrew Jacobson, M.D.
-
Kiem Dian Liem, M.D.
-
James McKee, M.D.
-
Rich R Stowe, PA
-
Andrew J. Ziegert, M.D.
Affiliated clinicians 2
-
Henry Tucker Clay Jr., M.D.
-
Avery Jade Cox, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Hospital certification: CCN 27Z337
- Legal name
- NORTHERN ROCKIES MEDICAL CENTER INC
- Doing business as
- LOGAN HEALTH - CUT BANK
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 1, 2021 in MT
- Enrollment address
- 802 2ND St SE
Cut Bank, MT 59427-3329
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| Treasure Berkram |
Corporate Officer | Dec 1, 2007 | |
| Linda Luther |
Corporate Director | May 1, 2017 | |
| Richard Gannon |
Corporate Director | May 1, 2017 | |
| Anna Robbins |
Operational/Managerial Control | Jul 12, 2023 | |
| Mark E Haemig |
Corporate Director | May 1, 2016 | |
| Justin Ott |
Corporate Officer | Aug 28, 2024 | |
| Rick Billman |
Corporate Director | May 1, 2007 | |
| Heidi M Duncan |
Corporate Director | Sep 1, 2023 | |
| Melissa Lundbeck Kaptanian |
Corporate Director | Aug 28, 2024 | |
| Chelsey Brown |
Corporate Director | Nov 12, 2024 | |
| Ellen Layton |
Corporate Officer | Aug 28, 2024 | |
| Brigid B Burke |
Corporate Officer | May 7, 2024 | |
| Mtwy Health |
5% Or Greater Direct Ownership Interest | Jun 1, 2021 | 100% |
| Operational/Managerial Control | Jun 1, 2021 | 100% | |
| Jane Karas |
Corporate Director | Sep 1, 2023 | |
| Clinton W Seger |
Corporate Officer | Sep 1, 2023 | |
| Corporate Director | Sep 1, 2023 | ||
| Alice Gordon |
Corporate Director | Sep 1, 2023 | |
| Patti L Pilgrim |
Corporate Officer | Sep 1, 2023 | |
| Craig Bartholomew |
Corporate Director | Sep 1, 2023 | |
| Henry T Clay |
Corporate Director | Jan 19, 2019 | |
| Cherie Taylor |
Corporate Officer | Nov 1, 2010 | |
| W-2 Managing Employee | Nov 1, 2010 | ||
| William D Gibson |
Corporate Officer | Feb 21, 2023 | |
| Gail Davis |
Corporate Director | May 1, 2016 | |
| Michael L Goguen |
Corporate Director | Sep 1, 2023 | |
| Michelle Harris |
Corporate Director | Sep 1, 2023 | |
| Steven Lowery |
Corporate Director | Jun 18, 2023 | |
| Keith Cook |
Corporate Director | Sep 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210526003195 | MT | Part a Provider - Critical Access Hospital | 0345234506 | Practice locations: Cut Bank, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 10272 | MT | Yes |
Addresses
Primary practice location
802 2ND St SE
Cut Bank, MT 59427-3329
Mailing address
802 2ND St SE
Cut Bank, MT 59427-3329
Phone (406) 873-2251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100030922 | Medicaid | MT |
Other names
- Logan Health - Cut Bank
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Northern Rockies Medical Center, Inc. |
Other providers in Cut Bank, MT
- Mary Jane Naone
- Northern Pines Rehabilitation and Nursing
- Northern Rockies Medical Center
- Northern Rockies Medical Center Inc
- Northern Rockies Medical Center, Inc
- Northern Rockies Medical Center, Inc.
- Northern Rockies Medical Center, Inc.
- Northwest Healthcare Corporation
- Debora O'Brien
- Shreya Patel
All providers in Cut Bank, MT · Medicare Defined Swing Bed Hospital Unit in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.