Provider Demographics
NPI:1982828273
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 1:105 5TH AVENUE EAST
Mailing Address - Street 2:
Mailing Address - City:SCOBEY
Mailing Address - State:MT
Mailing Address - Zip Code:59263-0400
Mailing Address - Country:US
Mailing Address - Phone:406-487-2296
Mailing Address - Fax:406-487-2680
Practice Address - Street 1:105 5TH AVENUE EAST
Practice Address - Street 2:
Practice Address - City:SCOBEY
Practice Address - State:MT
Practice Address - Zip Code:59263-0400
Practice Address - Country:US
Practice Address - Phone:406-487-2296
Practice Address - Fax:406-487-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10944275N00000X, 313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT27Z342Medicare ID - Type Unspecified
MT275071Medicare Oscar/Certification