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CAH271348-03 Northern Montana Hospital (Active)
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Main Details
Name
Northern Montana Hospital
Subdivision Name
SLETTEN CANCER CENTER - SLETTEN CANCER CENTER
Type
Critical Access Hospital
Rural
No
340B ID
CAH271348-03
Medicare Provider Number
271348
Outpatient Facility Provider Number
271348
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Northern Montana Hospital
Christen Obresley, VP, Regulatory Community Services
(406) 262-1420
Primary Contact
Northern Montana Hospital
Claridale Paunel Flynn, Director of Pharmacy
(406) 262-1250
Addresses
Street Address
40 13TH W ST
HAVRE, MT 59501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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