Provider Demographics
NPI:1346224391
Name:DANIELS MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:DANIELS MEMORIAL HOSPITAL
Other - Org Name:DANIELS MEMORIAL HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-487-2296
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:105 5TH AVE E
Mailing Address - City:SCOBEY
Mailing Address - State:MT
Mailing Address - Zip Code:59263
Mailing Address - Country:US
Mailing Address - Phone:406-487-2296
Mailing Address - Fax:406-487-2471
Practice Address - Street 1:105 5TH AVE E
Practice Address - Street 2:
Practice Address - City:SCOBEY
Practice Address - State:MT
Practice Address - Zip Code:59263
Practice Address - Country:US
Practice Address - Phone:406-487-2296
Practice Address - Fax:406-487-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10511261QC0050X
275N00000X
MT10523314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT415649Medicaid
MT271342Medicare ID - Type Unspecified