Organization
GLENDIVE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBINSON (VICE-PRESIDENT OF FINANCE)
(406) 345-8924
Entity
Organization
Contact information
Practice address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
(406) 345-3358
Mailing address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
(406) 345-3358
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10541
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000413100
—
MT
01
—
000082
BLUE CROSS
MT
Enumeration date
08/05/2006
Last updated
03/04/2021
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