MARCUS DALY MEMORIAL HOSPITAL CORPORATION (NPI# 1023253044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023253044 |
Entity Type | Organization |
Organization Name | MARCUS DALY MEMORIAL HOSPITAL CORPORATION |
Other Organization Name | BITTERROOT GENERAL & VASCULAR SURGERY |
Practice Address |
1150 Westwood Dr Suite C Hamilton MT 59840-5318 |
Mailing Address |
1224 W Main St Hamilton MT 59840-2338 |
Practice Telephone | 4063634574 |
Practice Fax Number | 4063634769 |
Mailing Telephone | 4063754823 |
Mailing Fax Number | 4063754846 |
Enumeration Date | 2008-12-04 |
Last Update Date | 2016-11-29 |
Authorized Official Name | DONJA C ERDMAN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4063632211 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1023253044 | 05 | |
MT | 1023253044 | 05 |
Other Name | Type Code |
---|---|
Bitterroot General & Vascular Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467077453 | Marcus Daly Memorial Hospital Corporation | Pain Medicine | 1103 Westwood Dr Ste B, Hamilton, MT 59840-2342 | 2020-06-15 |
1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
1427159524 | Marcus Daly Memorial Hospital Corporation | Internal Medicine | 1170 Westwood Drive, Suite B, Hamilton, MT 59840-5320 | 2006-09-25 |
1659475846 | Marcus Daly Memorial Hospital Corporation | General Acute Care Hospital | 1200 Westwood Drive, Hamilton, MT 59840-2395 | 2006-09-11 |
1285676445 | Marcus Daly Memorial Hospital Corporation | Eyewear Supplier (Equipment, not the service) | 300 N 10th St, Suite A, Hamilton, MT 59840 | 2006-06-12 |
1700360765 | Marcus Daly Memorial Hospital Corporation | Psychiatry & Neurology | 215 N 10th St Ste D, Hamilton, MT 59840-2328 | 2018-09-17 |
1962949982 | Marcus Daly Memorial Hospital Corporation | Clinic/Center | 2386 Us Highway 93 N, Victor, MT 59875 | 2017-01-28 |
1396191276 | Marcus Daly Memorial Hospital Corporation | Clinic/Center | 3334 Dvn Lane, Darby, MT 59829-9736 | 2016-05-10 |
1861730418 | Marcus Daly Memorial Hospital Corporation | Neurological Surgery | 1190 Westwood Dr, Hamilton, MT 59840-2343 | 2013-01-16 |
1316245863 | Marcus Daly Memorial Hospital Corporation | Internal Medicine | 1200 Westwood Dr, Hamilton, MT 59840-2395 | 2011-03-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MARCUS DALY MEMORIAL HOSPITAL CORPORATION | 1200 Westwood Dr, Hamilton, MT 59840-2345 |
Street Address |
1150 WESTWOOD DR SUITE C |
City | HAMILTON |
State | MT |
Zip Code | 59840-5318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093713224 | Ray Douglas Dameral | Dentist | 1150 Westwood Dr, Ste F, Hamilton, MT 59840-5317 | 2005-07-12 |
1528169604 | Marcus Daly Memorial Hospital Corporation | Surgery | 1150 Westwood Dr, Suite D, Hamilton, MT 59840-5318 | 2006-09-25 |
1861446379 | Frederick M Ilgenfritz | Surgery | 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
1851806590 | Emma's House Childrens Advocacy Center | Social Worker | 800 N. 2nd Street, Hamilton, MT 59840 | 2017-12-04 |
1316463136 | Wilderness Medics, Inc. | Emergency Medicine | 2069 Norman Way, Hamilton, MT 59840 | 2017-08-15 |
1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
1659737948 | Susan Berland | Physical Therapist | 484 Old Corvallis Rd, Suite B, Hamilton, MT 59840 | 2016-01-03 |
1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
1942623178 | Irene Walters Family Psychiatry PC | Registered Nurse | 99 Marcus Street, Suite C4, Hamilton, MT 59840 | 2014-01-23 |
1063758126 | Bitterroot Quality Care, Inc. | Assisted Living Facility | 842 New York Ave., Hamilton, MT 59840 | 2012-12-18 |
1639431224 | Carleen Dawn Grussling | Social Worker | 120 Copper King Ct Ste A, Hamilton, MT 59840 | 2012-06-11 |
Find all providers in zip 59840 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699059055 | Council Miller Jr. | Surgery | 75 Victoria Street, Hamilton, BERMUDA HM12 | 2011-10-04 |
1487933511 | Scott Gmora | Surgery | 50 Charlton Ave East, G836, Hamilton, ON L8N 4A6 | 2011-08-07 |
1649438540 | Alissa Brotman-o'neill | Surgery | 3525 Quakerbridge Road, Suite 2000, Hamilton, NJ 08690 | 2008-05-28 |
1821277765 | Earl L. Noyan, Md, LLC | Surgery | 445 White Horse Ave Ste 204b, Hamilton, NJ 08610-1408 | 2007-10-28 |
1215153846 | Octavian Tomescu Md, PC | Surgery | 1294 Military St S, Hamilton, AL 35570-5003 | 2007-04-18 |
1467552265 | Octavian Corneliu Tomescu | Surgery | 1294 Military Street South, Hamilton, AL 35570 | 2006-09-22 |
1043317191 | John Elliott Pressler | Surgery | 1710 Tatum Ln, Hamilton, OH 45013-5132 | 2006-09-20 |
1063432680 | Elie A Goldenberg | Surgery | 2063 Klockner Rd Fl 1, Hamilton, NJ 08690-3414 | 2006-07-19 |
1366495251 | Luke T Channer | Surgery | 215 N 10th St Ste A, Hamilton, MT 59840-2328 | 2006-05-19 |
1023576956 | Marcus Daly Memorial Hospital Corp | Surgery | 215 N 10th St Ste A, Hamilton, MT 59840-2328 | 2019-03-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.