NPIMap

Organization Active NPI

Rosebud Community Hospital, Inc

Doing business as Rosebud Health Care Center

  • Medicare Defined Swing Bed Hospital Unit
  • Forsyth, MT
National Provider Identifier
1902925472
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
11036 Issued in MT
Legal business name
ROSEBUD COMMUNITY HOSPITAL, INC
Doing business as
Rosebud Health Care Center
Practice address
383 17TH Ave N
Forsyth, MT 59327
Phone
(406) 346-2161
Fax
(406) 346-4247
NPI assigned
Mar 28, 2007
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSEBUD COMMUNITY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Mindy Price
Title
Ceo
Phone
(406) 346-4259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 11036 MT Primary

Addresses

Primary practice location

383 17TH Ave N
Forsyth, MT 59327

Mailing address

383 17TH Ave N
P.O. Box 268
Forsyth, MT 59327-0268
Phone (406) 346-2161

Other names 1

  • Rosebud Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000672 MT Part A Provider - Critical Access Hospital 3375454168 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forsyth, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902925472. Details of each certification follow.

Hospital certification: CCN 27Z327

Legal name
ROSEBUD COMMUNITY HOSPITAL INC
Doing business as
ROSEBUD HEALTH CARE CENTER
Organization structure
CorporationNon-profit
Enrollment address
383 N 17TH Ave
Forsyth, MT 59327-7971
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Forsyth Family Medicine5 organizations share this tax ID, including this one
Part of
Forsyth Family Medicine

Other organizations with this tax ID 4

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

Ownership & related parties

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.

NameRoleSinceShare
Jeanne Maciag Individual Corporate DirectorBoard Member Jul 26, 2018
Cherly Schwarzkoph Individual Corporate DirectorBoard Member Jun 1, 2010
Dan Watson Individual Corporate DirectorBoard Member Sep 25, 2024
Gerald Killen Individual Corporate DirectorBoard Member Jun 22, 2016
Gayle Holland Individual Corporate DirectorBoard Member Jun 1, 2007
Mindy Price Individual W-2 Managing EmployeeCeo Jul 1, 2018
Operational/Managerial ControlCeo Jul 1, 2018 100%
Hunter C Crose Individual W-2 Managing EmployeeMD; Sep 1, 2022
Robert Johnstone Individual Corporate DirectorBoard Member Nov 24, 2020
Robert Lee Individual Corporate DirectorBoard Member Jun 1, 2008
Nancy Nile Individual Corporate DirectorBoard Member Jun 1, 2012

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1902925472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 17TH AVE N",
            "address_2": "P.O. BOX 268",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270268",
            "telephone_number": "406-346-2161",
            "fax_number": "406-346-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 17TH AVE N",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "59327",
            "telephone_number": "406-346-2161",
            "fax_number": "406-346-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEBUD COMMUNITY HOSPITAL, INC",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-346-4259"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "11036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosebud Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, MT

Sources for this page

Verify at the official NPI Registry.