MARCUS DALY MEMORIAL HOSPITAL CORPORATION


Address: 1037 Main Street, Corvallis, MT 59828-9374
Phone: 4069614661

MARCUS DALY MEMORIAL HOSPITAL CORPORATION (NPI# 1396832127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396832127
Entity Type Organization
Organization Name MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Other Organization Name CORVALLIS FAMILY MEDICINE
Practice Address 1037 Main Street
Corvallis
MT 59828-9374
Mailing Address 1224 W Main Street
Hamilton
MT 59840-2338
Practice Telephone 4069614661
Practice Fax Number 4069614260
Mailing Telephone 4063754823
Mailing Fax Number 4063754846
Enumeration Date 2006-10-05
Last Update Date 2016-12-05
Authorized Official Name DONJA C ERDMAN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 4063632211
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QR1300X Clinic/Center
Specialization: Rural Health
12139 MT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MT 1396832127 05
ID 1396832127 05

Other Provider/Organization Names

Other Name Type Code
Corvallis Family Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1477862522 Marcus Daly Memorial Hospital Corporation Clinic/Center 1224 W Main St, Hamilton, MT 59840-2338 2010-10-06

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MARCUS DALY MEMORIAL HOSPITAL CORPORATION 1200 Westwood Dr, Hamilton, MT 59840-2345

Office Location

Street Address 1037 MAIN STREET
City CORVALLIS
State MT
Zip Code 59828-9374

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891080529 Corvallis Physical Therapy, PC Clinic/Center 1050 Eastside Hwy, Corvallis, MT 59828 2011-06-10
1568665651 Linda Macy Technician 470 Clearview Drive, Corvallis, MT 59828 2007-06-07
1871617019 David J. Charlton Specialist/Technologist 1020 Eastside Highway, Corvallis, MT 59828 2007-03-16
1104018639 Carla R Albert Physical Therapist 1016 Brooks Ave, Corvallis, MT 59828 2007-08-17
1093870560 Corvallis Drug Inc Durable Medical Equipment & Medical Supplies 1029 Main Street, Corvallis, MT 59828-0009 2006-12-26
1477592509 John D Hutchison Optometrist 1031 Main Street, Corvallis, MT 59828-0911 2006-06-05
1720431729 Madeline Grace Mussman Family Medicine 1037 Main St, Corvallis, MT 59828-9004 2016-07-14
1578755856 Brett Gordon Mildenberger Optometrist 473 Cayuse Trl, Corvallis, MT 59828-9259 2007-08-10
1356726111 Kellie D Mildenberger Social Worker 473 Cayuse Trl, Corvallis, MT 59828-9259 2015-07-22
1457405680 Phyllis Jean Bookbinder Counselor 1135 Catherine Ln, Corvallis, MT 59828-9321 2007-01-23
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730434309 Stillwater Hospital Association, Inc. Clinic/Center 710 N. 11th St., Box 959, Columbus, MT 59019-0959 2012-07-19
1730417452 Providence St Joseph Medical Center Clinic/Center 63351 Us Highway 93 S, Ronan, MT 59864-2702 2009-11-19
1265605398 Eastern Montana Health Company Clinic/Center 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 2008-04-09
1073781548 Great Falls Clinic Clinic/Center 124 Main Avenue North, Choteau, MT 59422-9410 2008-02-18
1205038379 Phillips County Hospital Assn Clinic/Center 315 Sth 8th Ave E, Malta, MT 59538 2007-06-01
1942321120 Granite County Hospital District Clinic/Center 26 East Broad St, Drummond, MT 59832-0312 2007-04-03
1851425789 Three Rivers Clinic LLC Clinic/Center 16 Railway Ave, Three Forks, MT 59752-1078 2007-03-15
1750459632 Daniels Memorial Hospital Clinic/Center 105 5th Ave. East, Scobey, MT 59263 2006-12-01
1003984097 Liberty County Hospital and Nursing Home, Inc Clinic/Center 418 West Monroe Avenue, Chester, MT 59522-0506 2006-11-30
1730252883 Sidney Health Center Clinic/Center 304 S Ellery, Fairview, MT 59221 2006-11-16
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Competitor

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City CORVALLIS
Zip Code 59828

Improve Information

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Dataset Information

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.

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