Provider Demographics
NPI:1427153881
Name:COMMUNITY HOSPITAL OF ANACONDA
Entity type:Organization
Organization Name:COMMUNITY HOSPITAL OF ANACONDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPT DIREECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CORTRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-563-8667
Mailing Address - Street 1:401 W PENNSYLVANIA
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711
Mailing Address - Country:US
Mailing Address - Phone:406-563-8667
Mailing Address - Fax:406-563-8665
Practice Address - Street 1:401 W PENNSYLVANIA
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711
Practice Address - Country:US
Practice Address - Phone:406-563-8667
Practice Address - Fax:406-563-8665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HOSPITAL OF ANACONCDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-13
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT10442OtherSTATE LICENSE