Basic Information
Provider Information
NPI: 1326419102
EntityType: 2
ReplacementNPI:  
OrganizationName: BARRETT HOSPITAL DEVELOPMENT CORPORATION
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Mailing Information
Address1: 600 MT HIGHWAY 91 S
Address2:  
City: DILLON
State: MT
PostalCode: 597257379
CountryCode: US
TelephoneNumber: 4066833000
FaxNumber: 4066833011
Practice Location
Address1: 600 MT HIGHWAY 91 S
Address2:  
City: DILLON
State: MT
PostalCode: 597257379
CountryCode: US
TelephoneNumber: 4066833000
FaxNumber: 4066833011
Other Information
ProviderEnumerationDate: 10/19/2015
LastUpdateDate: 02/10/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ACHTER
AuthorizedOfficialFirstName: RICHARD
AuthorizedOfficialMiddleName: JAMES
AuthorizedOfficialTitleorPosition: CHIEF FINANCIAL OFFICER
AuthorizedOfficialTelephone: 4066833003
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 02/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC0060X13443MTN HospitalsGeneral Acute Care HospitalCritical Access
275N00000X  Y Hospital UnitsMedicare Defined Swing Bed Unit 

No ID Information.


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