Provider Demographics
NPI:1225150956
Name:GRANITE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:GRANITE COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-859-3271
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:310 SANSOME ST
Mailing Address - City:PHILIPSBURG
Mailing Address - State:MT
Mailing Address - Zip Code:59858-0729
Mailing Address - Country:US
Mailing Address - Phone:406-859-3271
Mailing Address - Fax:406-859-3011
Practice Address - Street 1:310 SANSOME ST
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:MT
Practice Address - Zip Code:59858-0729
Practice Address - Country:US
Practice Address - Phone:406-859-3271
Practice Address - Fax:406-859-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
275N00000X
MT10622282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT27Z303Medicare Oscar/Certification