Madison Valley Hospital INC
Pharmacy, Community/Retail Pharmacy in Ennis, MT. Organization (NPI-2).
NPI number1194497883
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1194497883
- Entity type
- Organization (NPI-2)
- Legal business name
- Madison Valley Hospital INC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2021
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
305 N Main StEnnis, MT 59729-8001
Phone 406-682-6862
Mailing address
305 N Main StEnnis, MT 59729-8001
Phone 406-682-6862
Authorized official
Allen Rohrback
Ceo
4066826862
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