MARCUS DALY MEMORIAL HOSPITAL CORPORATION (NPI# 1477862522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477862522 |
| Entity Type | Organization |
| Organization Name | MARCUS DALY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | RAVALLI UROLOGY |
| Practice Address |
1224 W Main St Hamilton MT 59840-2338 |
| Practice Telephone | 4063754888 |
| Practice Fax Number | 4063754867 |
| Mailing Telephone | 4063754823 |
| Mailing Fax Number | 4063754846 |
| Enumeration Date | 2010-10-06 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 208800000X | Urology | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1477862522 | 05 | |
| MT | 1477862522 | 05 |
| Other Name | Type Code |
|---|---|
| Ravalli Urology | 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 |
1224 W MAIN ST |
| City | HAMILTON |
| State | MT |
| Zip Code | 59840-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899232 | Michael P Moran | Family Medicine | 1224 W Main St, Hamilton, MT 59840-2338 | 2006-05-19 |
| 1942748785 | Courtney Charlotte Shanahan | Nurse Practitioner | 1224 W Main St, Marcus Daly Memorial Hospital and Clinics, Hamilton, MT 59840-2338 | 2017-01-31 |
| 1407302953 | Robin Yeargan | Nurse Practitioner | 1224 W Main St, Hamilton, MT 59840-2338 | 2016-08-25 |
| 1396855599 | Virginia L. Forbes | Nurse Practitioner | 1224 W Main St, Hamilton, MT 59840-2338 | 2006-08-30 |
| 1861439408 | Gary L Smith | Internal Medicine | 1224 W Main St, Hamilton, MT 59840-2338 | 2006-06-01 |
| 1154377232 | Richard H Eggleston | Emergency Medicine | 1224 W Main St, Hamilton, MT 59840-2338 | 2006-05-26 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659601102 | Propa Ghosh | Urology | 1374 Whitehorse Hamilton Square Rd Ste 101, Hamilton, NJ 08690-3701 | 2010-01-06 |
| 1093704140 | Earle S Linder | Urology | 2105 Klockner Rd, Hamilton, NJ 08690-3403 | 2005-10-20 |
| 1134539091 | Kellan Fitzgerald Clark | Urology | 215 N 10th St Ste A, Hamilton, MT 59840-2328 | 2014-04-30 |
| 1861779761 | Samuel A Qassab | Urology | 1374 Whitehorse Hamilton Square Rd Ste 101, Hamilton, NJ 08690 | 2011-11-07 |
| 1881844736 | Michael Nazmy Jr. | Urology | 1374 Whitehorse Hamilton Square Rd, Suite 101, Hamilton, NJ 08690-3701 | 2008-09-29 |
| 1205090099 | Manuel A. Rivas Md Pa | Urology | 2081 Klockner Rd, Hamilton, NJ 08690-3415 | 2008-07-11 |
| 1962662312 | John Andrew Watson | Urology | 2105 Klockner Rd, Hamilton, NJ 08690-3403 | 2008-06-10 |
| 1003002072 | Alexander Gotesman | Urology | 1374 Whitehorse Hamilton Square Rd, Hamilton, NJ 08690-3701 | 2007-09-24 |
| 1356569388 | Lakewood Urology Limited Liability Company | Urology | 1374 Whitehorse Hamilton Square Rd, Suite 101, Hamilton, NJ 08690-3701 | 2007-04-23 |
| 1659306884 | Hamilton Urology Pa | Urology | 2105 Klockner Rd, Hamilton, NJ 08690-3403 | 2006-07-12 |
| Find all providers in HAMILTON | ||||
Please comment or provide details below to improve the information on MARCUS DALY MEMORIAL HOSPITAL CORPORATION.
| 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.