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DSH270012A BENEFIS HOSPITALS INC. (Terminated)
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Main Details
Name
BENEFIS HOSPITALS INC.
Subdivision Name
BENEFIS WEST CAMPUS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH270012A
Medicare Provider Number
270012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/30/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/19/2018
Last Recertification Date
9/9/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Benefis Hospitals Inc.
Forrest Ehlinger, Chief Financial Officer
(406) 455-5479
Primary Contact
Benefis Hospitals Inc
JAMIE Hinzman LEONARD, Pharmacy Director
(406) 455-5434
Addresses
Street Address
500 15TH AVE. SOUTH
STE 2
GREAT FALLS, MT 59405
Billing Address
BENEFIS HOSPITALS
500 15TH AVE. SOUTH
GREAT FALLS, MT 59405
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2010, terminated 1/1/2011. Reinstated 1/1/2019.
11/02/2018
10/01/10-REMOVE MEDICAID #(0413793)
12/30/2010
May 2025
May 2025
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