NPIMap

Organization Active NPI

Plains Hospital Corporation

Doing business as Clark Fork Valley Hospital

  • Oxygen Equipment & Supplies (DME)
  • Plains, MT
National Provider Identifier
1871699736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PLAINS HOSPITAL CORPORATION
Doing business as
Clark Fork Valley Hospital
Practice address
10 Kruger Rd
Plains, MT 59859-9506
Phone
(406) 826-4816
Fax
(406) 826-4898
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margo E Harrison
Title
President/Ceo
Phone
(406) 826-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

10 Kruger Rd
Plains, MT 59859-9506

Mailing address

10 Kruger Rd
PO Box 768
Plains, MT 59859-9506
Phone (406) 826-4816

Other identifiers 1

IdentifierTypeStateIssuer
5602298MedicaidMT

Other names 1

  • Clark Fork Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038474 MT DME Supplier - HospitalDME Supplier - Nursing FacilityDME Supplier - Oxygen & EquipmentDME Supplier - Nursing Facility Intermediate CareDME Supplier - Home Health Agency 4183691132 Practice locations: Plains, MT

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Plains Hospital Corporation10 Kruger Rd, Plains, MT 59859-9506(406) 826-4813 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Plains Hospital Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clark Fork Valley Hospital Long Term CarePlains, MT, CCN 275107 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 17, 1971
Jan 17, 1971
Jan 17, 1971
Jan 17, 1971
Clark Fork Valley HospicePlains, MT, CCN 271524 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 14, 1993
Thompson Falls Family MedicineThompson Falls, MT, CCN 273979 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 14, 1993
Hot Springs ClinicHot Springs, MT, CCN 273980 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 14, 1993

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871699736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KRUGER RD",
            "address_2": "PO BOX 768",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599506",
            "telephone_number": "406-826-4816",
            "fax_number": "406-826-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KRUGER RD",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599506",
            "telephone_number": "406-826-4816",
            "fax_number": "406-826-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-826-4814",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602298",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Fork Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plains, MT

Sources for this page

Verify at the official NPI Registry.