# CHOUTEAU COUNTY DISTRICT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Missouri River Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508990698
- **Authorized official:** MS. STACY ANN BISEL (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (406) 622-6169

## Contact information

- **Practice address:** 1501 ST. CHARLES, FORT BENTON, MT 59442
- **Practice address phone:** (406) 622-3331
- **Practice address fax:** (406) 622-5670
- **Mailing address:** PO BOX 249, FORT BENTON, MT 59442-0249
- **Mailing address phone:** (406) 622-3331
- **Mailing address fax:** (406) 622-5670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 11053 | MT | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 316550 | — | MT |