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CAH271307-00 BENEFIS TETON MEDICAL CENTER (Active)
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Main Details
Name
BENEFIS TETON MEDICAL CENTER
Subdivision Name
Benefis Teton Medical Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271307-00
Medicare Provider Number
271307
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
12/7/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Benefis Teton Medical Center
Louie King, President
(406) 466-5763 Ext: 6001
Primary Contact
Benefis Teton Medical Center
Susan Murphy, Chief Operating Officer
(406) 466-5763 Ext: 6005
Addresses
Street Address
915 FOURTH STREET NW
CHOTEAU, MT 59422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2013; Terminated 10/1/2019; Reinstated 1/1/2024.
12/07/2023
May 2025
May 2025
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