MEMORIAL HOSPITAL ASSOCIATION (NPI# 1659433175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659433175 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | BEARTOOTH HOSPITAL AND HEALTH CENTER DIAGNOSTICS |
| Practice Address |
600 W 21st Street Red Lodge MT 59068-0590 |
| Mailing Address |
Po Box 590 Red Lodge MT 59068-0590 |
| Practice Telephone | 4064460022 |
| Practice Fax Number | 4064460031 |
| Mailing Telephone | 4064460022 |
| Mailing Fax Number | 4064460031 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MS. SUSAN J SCOTT (FINANCE DEPT MANAGER) |
| Authorized Official Telephone | 4064460022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10573 | MT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS | 06631 | 01 |
| Other Name | Type Code |
|---|---|
| Beartooth Hospital and Health Center Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225305444 | Memorial Hospital Association | Public Health or Welfare | 206 N Broadway Ave, Red Lodge, MT 59068-9369 | 2011-11-17 |
| 1891972451 | Memorial Hospital Association | Clinic/Center | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-01-25 |
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1205887742 | Memorial Hospital Association | Clinic/Center | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-05-12 |
| 1437100831 | Memorial Hospital Association | Clinic/Center | 209 E 5th Street, Bowen, IL 62316 | 2006-05-12 |
| 1588614002 | Memorial Hospital Association | Clinic/Center | 1450 N County Rd 2050, Carthage, IL 62321-0160 | 2006-05-12 |
| 1730139031 | Memorial Hospital Association | General Acute Care Hospital | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2006-05-10 |
| 1336119338 | Memorial Hospital Association | General Acute Care Hospital | 2525 North Broadway, Red Lodge, MT 59068-0590 | 2006-01-24 |
| 1699228882 | Memorial Hospital Association | Clinic/Center | 110 E Market St, Colchester, IL 62326-1271 | 2016-07-25 |
| Street Address |
600 W 21ST STREET |
| City | RED LODGE |
| State | MT |
| Zip Code | 59068-0590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821129495 | Mark Eric Robertson | Physical Therapist | 600 W 21st Street, Red Lodge, MT 59068 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947941 | John Joseph Monroe | Counselor | 515 W 22nd St, Red Lodge, MT 59068 | 2019-05-14 |
| 1760977706 | Carbon County Senior Care, LLC | In Home Supportive Care | 4 Bighorn Ln., Red Lodge, MT 59068 | 2018-06-22 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
| 1104186832 | The Willows | Assisted Living Facility | 2475 North Broadway, Red Lodge, MT 59068 | 2012-05-29 |
| 1124391776 | Bruce Robert Fishburn | Ophthalmology | 16 Lower Wapiti Valley Road, Red Lodge, MT 59068 | 2012-02-13 |
| 1235409988 | Wayne Allen Hill | Radiology | 397 Highway 78, Red Lodge, MT 59068 | 2012-01-11 |
| 1346372182 | Lynn Kathleen Zavala | Physical Therapist | 600 W 21st St, Red Lodge, MT 59068 | 2007-03-09 |
| 1073677084 | Nancy Mcgrade | Counselor | 1 N Broadway, Red Lodge, MT 59068 | 2006-12-21 |
| 1306908785 | Steven Wallace Fugere | Occupational Therapist | 600 West 21st Str., Red Lodge, MT 59068 | 2006-12-14 |
| Find all providers in zip 59068 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1336119338 | Memorial Hospital Association | General Acute Care Hospital | 2525 North Broadway, Red Lodge, MT 59068-0590 | 2006-01-24 |
| 1194889899 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-20 |
| 1801958764 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-15 |
| 1710049952 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-14 |
| 1184785099 | Memorial Hospital Association | General Acute Care Hospital | 2525 North Broadway, Red Lodge, MT 59068-0590 | 2006-12-13 |
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|---|---|---|---|---|
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| 1235302142 | Phs Indian Hospital | General Acute Care Hospital | 10110 South 7650 East Phs, Crow Northern Cheyenne Indian, Crow Agency, MT 59022 | 2008-04-11 |
| 1407076219 | Us Health Dept of Health & Human Services | General Acute Care Hospital | Pryor Gap Road, Pryor, MT 59066-0009 | 2007-04-26 |
| 1790803369 | Mccone County Health Center, Inc. | General Acute Care Hospital | 605 Sullivan Avenue, Circle, MT 59215 | 2007-03-26 |
| 1750410395 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 418 Harding Street, Lodge Grass, MT 59050-0780 | 2007-03-02 |
| 1730216037 | Public Hospital District of Beaverhead County Db | General Acute Care Hospital | 30 Mt Hwy 91 South, Dillon, MT 59725-3597 | 2007-02-27 |
| 1548395197 | Mountainview Medical Center | General Acute Care Hospital | 16 West Main Street, White Sulphur Springs, MT 59645-0817 | 2007-02-23 |
| 1053488387 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 710 N 11th Street, Columbus, MT 59019-0959 | 2006-11-30 |
| 1659475846 | Marcus Daly Memorial Hospital Corporation | General Acute Care Hospital | 1200 Westwood Drive, Hamilton, MT 59840-2395 | 2006-09-11 |
| 1386751196 | Roundup Memorial Hospital Association | General Acute Care Hospital | 1203 Third St W, Roundup, MT 59072-0040 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
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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.