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

Active since August 08, 2006CLIA Certified · 4 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: November 01, 2026.

About Glendive Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDIVE MEDICAL CENTER, INC (NPI 1033129622) is a healthcare organization registered as a critical access hospital in Glendive, Montana and active in the NPI registry since August 2006. The organization holds 4 active CLIA laboratory certificates and lists William Robinson, Vp Of Financial Services, as its authorized official.

NPPES Registry Identity

NPI1033129622
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameGLENDIVE MEDICAL CENTER, INC
Location Address202 PROSPECT DRGlendive, MT 59330-1943
Mailing Address202 Prospect DrGlendive, MT 59330-1943 · (406) 345-3306 · Fax (406) 345-3358
Fax(406) 345-3358
Organization SubpartNo
Authorized OfficialWilliam RobinsonVp Of Financial Services · (406) 345-8924
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1033129622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
Definition
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.
202 PROSPECT DR, Glendive, MT 59330

Other Identifiers 2

Other9845MT · Blue Cross Hbp
Medicaid430768MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendive Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Glendive Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner16
Certified Registered Nurse Anesthetist (CRNA)8
Diagnostic Radiology5
Family Practice3
Internal Medicine2
Cardiovascular Disease (Cardiology)1
Hematology/Oncology1
Hospitalist1
1 other specialty1

Nearest to this location (20)

See all 38
Internal Medicine
NPI 1831105303
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255650610
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3345
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548528706
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174585921
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ PECOSSame address
Family Practice
NPI 1770965972
107 DILWORTH ST
Glendive, MT 59330
(406) 345-8901
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053938951
107 DILWORTH ST
Glendive, MT 59330
(406) 345-8901
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013395706
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346884947
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306396726
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083212195
202 PROSPECT DR
Glendive, MT 59330
(406) 345-3306
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1740367135
107 DILWORTH ST
Glendive, MT 59330
(406) 345-8935
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1649433293
107 DILWORTH ST
Glendive, MT 59330
(406) 345-8901
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750118071
107 W BELL ST
Glendive, MT 59330
(406) 939-2048
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1659374130
112 S KENDRICK AVE
Glendive, MT 59330
(406) 344-8278
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1487023990
409 BOWEN ST
Terry, MT 59349
(406) 635-5511
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1073224077
605 SULLIVAN AVE
Circle, MT 59215
(406) 485-2063
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1033752530
682 18TH AVE E STE A
Dickinson, ND 58601
(701) 829-3396
✔ PECOS✔ Accepts Medicare93 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902937675
621 3RD ST S
Glasgow, MT 59230
(406) 228-3500
✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1568409191
17 N MILES AVE
Hardin, MT 59034
(406) 665-2310
✔ PECOS169 mi
Diagnostic Radiology
NPI 1215999222
2800 10TH AVE N
Billings, MT 59101
(406) 238-2500
✔ PECOS✔ Accepts Medicare203 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D1049997

Glendive Medical Center Home Care · Glendive, MT
Active · expires Jan 22, 2028
CLIA Number27D1049997
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorWendy M. Mintz
Laboratory Phone(406) 345-3395
Laboratory LocationGlendive Medical Center Home Care202 Prospect Drive, Glendive, MT 59330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 27D0672851

Glendive Medical Center · Glendive, MT
Active · expires May 18, 2027
CLIA Number27D0672851
Laboratory TypeHospital
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDr. Darren Buonocore
Laboratory Phone(406) 345-3370
Laboratory LocationGlendive Medical Center202 Prospect Drive, Glendive, MT 59330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 27D2188948

Glendive Medical Center Extended Care · Glendive, MT
Active · expires Jul 22, 2028
CLIA Number27D2188948
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorJill Domek
Laboratory Phone(406) 345-3348
Laboratory LocationGlendive Medical Center Extended Care202 Prospect Avenue, Glendive, MT 59330
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2204016

Glendive Medical Center Heritage · Glendive, MT
Active · expires Dec 6, 2026
CLIA Number27D2204016
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorChristy Kemp
Laboratory Phone(406) 377-8115
Laboratory LocationGlendive Medical Center Heritage1313 N Merrill Ave #101, Glendive, MT 59330
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendive Medical Center, Inc's NPI number?

The NPI number for Glendive Medical Center, Inc is 1033129622. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Glendive Medical Center, Inc located?

Glendive Medical Center, Inc is located at 202 Prospect Dr, Glendive, MT 59330. The listed phone number is (406) 345-3306.

What is Glendive Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is Glendive Medical Center, Inc enrolled in Medicare?

Yes. Glendive Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glendive Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 9 Medicare specialties reassign their Medicare billing to Glendive Medical Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Certified Registered Nurse Anesthetist (CRNA) (8) and Diagnostic Radiology (5). Of these, 10 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glendive Medical Center, Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Glendive Medical Center, Inc accept?

Health plans from Blue Cross and Blue Shield of Montana list Glendive Medical Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glendive Medical Center, Inc was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.