Provider Demographics
NPI:1902925472
Name:ROSEBUD COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:ROSEBUD COMMUNITY HOSPITAL, INC
Other - Org Name:ROSEBUD HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-346-4259
Mailing Address - Street 1:383 17TH AVE N
Mailing Address - Street 2:P.O. BOX 268
Mailing Address - City:FORSYTH
Mailing Address - State:MT
Mailing Address - Zip Code:59327-0268
Mailing Address - Country:US
Mailing Address - Phone:406-346-2161
Mailing Address - Fax:406-346-4255
Practice Address - Street 1:383 17TH AVE N
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MT
Practice Address - Zip Code:59327
Practice Address - Country:US
Practice Address - Phone:406-346-2161
Practice Address - Fax:406-346-4247
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSEBUD COMMUNITY HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-28
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11036275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
27Z327Medicare Oscar/Certification
MT27Z327Medicare Oscar/Certification