GLENDIVE MEDICAL CENTER, INC
NPI 1033129622
Clinic/Center - Critical Access Hospital in Glendive, MT

Active since August 08, 2006CLIA Certified · 3 labs
202 PROSPECT DR, GLENDIVE, MT 59330(406) 345-3306(406) 345-3358 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Critical Access Hospital
  • Accepts Insurance
  • CLIA Number: 27D1107420
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About GLENDIVE MEDICAL CENTER, INC

This page provides the complete NPI Profile along with additional information for Glendive Medical Center, Inc, a provider established in Glendive, Montana operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1033129622 assigned on August 2006. The practitioner's primary taxonomy code is 261QC0050X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is William Robinson (Vp Of Financial Services)

NPI
1033129622 Verify this NPI
Provider Name
GLENDIVE MEDICAL CENTER, INC
Entity Type
Organization
Location Address
202 PROSPECT DR GLENDIVE, MT 59330
Location Phone
(406) 345-3306
Location Fax
(406) 345-3358
Mailing Address
202 PROSPECT DR GLENDIVE, MT 59330
Mailing Phone
(406) 345-3306
Mailing Fax
(406) 345-3358
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2006
Last Update Date
03-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM ROBINSON

Authorized Official Title
VP OF FINANCIAL SERVICES
Authorized Official Phone
(406) 345-8924

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9845OTHER (01)MTBLUE CROSS HBP
430768MEDICAID (05)MT 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D1107420
Facility Type
Community Clinic
Certificate Effective Date
November 05, 2009
Certificate Expiration Date
May 22, 2026
Laboratory Director
DANIEL HARTER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Glendive Medical Center, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for GLENDIVE MEDICAL CENTER, INC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
202 PROSPECT DR
GLENDIVE, MT 59330
Physician Assistant
202 PROSPECT DR
GLENDIVE, MT 59330
Dietitian, Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Physician Assistant
202 PROSPECT DR
GLENDIVE, MT 59330
Internal Medicine
202 PROSPECT DR
GLENDIVE, MT 59330
Physician Assistant
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Anesthetist, Certified Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Physician Assistant
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Anesthetist, Certified Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Anesthetist, Certified Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Practitioner (Family)
202 PROSPECT DR
GLENDIVE, MT 59330
Durable Medical Equipment & Medical Supplies
202 PROSPECT DR
GLENDIVE, MT 59330
Skilled Nursing Facility
202 PROSPECT DR
GLENDIVE, MT 59330
Medicare Defined Swing Bed Unit
202 PROSPECT DR
GLENDIVE, MT 59330
General Acute Care Hospital (Critical Access)
202 PROSPECT DR
GLENDIVE, MT 59330
Home Health
202 PROSPECT DR
GLENDIVE, MT 59330
Hospice Care, Community Based
202 PROSPECT DR
GLENDIVE, MT 59330
Clinic/Center (Emergency Care)
202 PROSPECT DR
GLENDIVE, MT 59330
Pharmacy (Long Term Care Pharmacy)
202 PROSPECT DR
GLENDIVE, MT 59330
Pharmacy
202 PROSPECT DR
GLENDIVE, MT 59330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033129622, enumerated as an "organization" on August 08, 2006.

The provider is located at 202 PROSPECT DR GLENDIVE, MT 59330 and the phone number is (406) 345-3306.

Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.