RUBY VALLEY HOSPITAL NPI 1962547653

NPI Information

NPI: 1962547653
Provider Name: RUBY VALLEY HOSPITAL

Doing Business As: RUBY VALLEY MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
321 MADISON STREET
SHERIDAN, MT
ZIP 59749
Phone: (406) 842-5056
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RUBY VALLEY HOSPITAL is a rural health clinic center in Sheridan, MT. RUBY VALLEY HOSPITAL NPI is 1962547653. The provider is registered as an organization entity type.
The provider Is Doing Business As Ruby Valley Medical Center.

The provider's business location address is:

321 MADISON STREET
SHERIDAN, MT
ZIP 59749-366
Phone: (406) 842-5056
Fax: (406) 842-5057

The provider's authorized official is Landon Dybdal .
The authorized official title is Ceo and has the following contact phone number (406) 842-5453.

The CLIA number assigned to this NPI record is 27D1006916 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	10088	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	66962	OTHER	MONTANA	BCBS RVH SHERIDAN RHC-FQC
2	0720473	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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