Active NPI
Chouteau County District Hospital
- Clinical Medical Laboratory
- Fort Benton, MT
National Provider Identifier
1962536052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CHOUTEAU COUNTY DISTRICT HOSPITAL
- Practice address
- 1501 St. Charles
Fort Benton, MT 59442 - Phone
- (406) 622-3331
- Fax
- (406) 622-5670
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stacy Ann Bisel
- Title
- Business Office Manager
- Phone
- (406) 622-6169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1501 St. Charles
Fort Benton, MT 59442
Mailing address
PO Box 249
Fort Benton, MT 59442-0249
Phone (406) 622-3331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97115 | Other | MT | BCBS PROFESSIONAL COMP |
| 96175 | Other | MT | BCBS LAB & TECHNICAL COMP |
Other names 1
- Missouri River Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Chouteau County District Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Fort Benton, MT
- NPI 1144236928
-
- Durable Medical Equipment & Medical Supplies
- Fort Benton, MT
- NPI 1679757488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962536052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594420249",
"telephone_number": "406-622-3331",
"fax_number": "406-622-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ST. CHARLES",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "59442",
"telephone_number": "406-622-3331",
"fax_number": "406-622-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOUTEAU COUNTY DISTRICT HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BISEL",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "406-622-6169",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROFESSIONAL COMP",
"identifier": "97115",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LAB & TECHNICAL COMP",
"identifier": "96175",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Missouri River Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Benton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.