NPIMap

Organization Active NPI

Pioneer Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Big Timber, MT
National Provider Identifier
1932266939
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10783 Issued in MT
Legal business name
PIONEER MEDICAL CENTER
Doing business as
Pioneer Medical Center
Practice address
301 W 7TH Ave
Big Timber, MT 59011-7893
Phone
(406) 932-4603
Fax
(406) 932-5468
NPI assigned
Jan 2, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Ian Peterson
Title
Ceo
Phone
(406) 932-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10783 MT Primary

Addresses

Primary practice location

301 W 7TH Ave
Big Timber, MT 59011-7893

Mailing address

PO Box 1228
Big Timber, MT 59011-1228
Phone (406) 932-4603

Other identifiers 2

IdentifierTypeStateIssuer
40052OtherMTBCBS
3100052MedicaidMT

Other names 1

  • Pioneer Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160729000322 MT Part A Provider - Critical Access Hospital 6507159514 Practice locations: Big Timber, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932266939. Details of each certification follow.

Hospital certification: CCN 27Z313

Legal name
PIONEER MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Jul 1, 2016 in MT
Enrollment address
301 W 7TH Ave
Big Timber, MT 59011-1228
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Chad W Miller Individual Corporate DirectorBoard Member Jul 1, 2016
Ian D Peterson Individual Corporate OfficerCeo Nov 30, 2020
W-2 Managing EmployeeCeo Nov 30, 2020
Wallace C Walker Individual Corporate DirectorBoard Member Jul 1, 2016
William E Wallace Individual Corporate DirectorBoard Member Jan 1, 2021
Matthew J McManamen Individual Corporate DirectorBoard Member Jun 30, 2022
Pioneer Medical Center Organization, Big Timber, MT Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Brandi Schweigert Individual Corporate DirectorBoard Member Jan 1, 2021
Elaine K Allestad Individual Corporate DirectorBoard Member Jan 1, 2021
Corey Austin Individual Corporate DirectorBoard Member Jul 6, 2023
Patrick McConnell Individual Corporate OfficerRegional Controller Jan 1, 2021
Mary Boe Parker Individual Corporate DirectorDirector of Business Operations Jul 1, 2016
Joy N Ott Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Pioneer Medical CenterBig Timber, MT, CCN 271313 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 271523 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
Pioneer Medical CenterBig Timber, MT, CCN 273407 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1932266939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590111228",
            "telephone_number": "406-932-4603",
            "fax_number": "406-932-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 7TH AVE",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590117893",
            "telephone_number": "406-932-4603",
            "fax_number": "406-932-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-932-4603"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40052",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100052",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Timber, MT

Sources for this page

Verify at the official NPI Registry.