MADISON VALLEY HOSPITAL ASSOCIATION (NPI# 1518136308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136308 |
| Entity Type | Organization |
| Organization Name | MADISON VALLEY HOSPITAL ASSOCIATION |
| Other Organization Name | MADISON VALLEY MEDICAL CENTER |
| Practice Address |
305 N Main St Ennis MT 59729-9998 |
| Practice Telephone | 4066826862 |
| Practice Fax Number | 4066824756 |
| Mailing Telephone | 4066826862 |
| Mailing Fax Number | 4066824756 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | JOHN BISHIP (CEO) |
| Authorized Official Telephone | 4066826862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0720122 | 05 |
| Other Name | Type Code |
|---|---|
| MADISON VALLEY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223882 | Madison Valley Hospital Association | General Acute Care Hospital | 305 N Main St, Ennis, MT 59729-9998 | 2006-06-14 |
| Street Address |
305 N MAIN ST |
| City | ENNIS |
| State | MT |
| Zip Code | 59729-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973598 | Connor Schultz | Physical Therapist | 305 N Main St, Ennis, MT 59729-8001 | 2018-05-29 |
| 1699107508 | Andrew Milton Thomas | Physical Therapist | 305 N Main St, Ennis, MT 59729-8001 | 2013-08-01 |
| 1477991230 | David Joseph Newton | Family Medicine | 305 N Main St, Ennis, MT 59729-8001 | 2013-06-13 |
| 1205162583 | Krystin Danielle Nutt | Nurse Practitioner | 305 N Main St, Ennis, MT 59729-8001 | 2009-10-21 |
| 1740223882 | Madison Valley Hospital Association | General Acute Care Hospital | 305 N Main St, Ennis, MT 59729-9998 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528300159 | Lindsay Degroot | Counselor | 1 Steambath Dr, Suite B, Ennis, MT 59729 | 2013-03-21 |
| 1447583059 | Lacey Hanson | Counselor | 6 Wapiti Lane, Ennis, MT 59729 | 2009-09-14 |
| 1861676744 | Neil Edgar Falkenburg | Psychiatry & Neurology | 14 Sidehill Trail, Ennis, MT 59729 | 2007-12-27 |
| 1235257239 | Darci L Sgrignoli | Occupational Therapist | 217 N. Main, Rehab Dept, Ennis, MT 59729 | 2007-03-27 |
| 1588745715 | Jeanne Marie Diebert | Dietitian, Registered | 222 E. Main Unit 1f, Ennis, MT 59729 | 2006-10-17 |
| 1932194784 | Carson Curtis Blake | Family Medicine | 305 N. Main, Ennis, MT 59729 | 2005-09-19 |
| 1265679831 | Martin Eugene Hensel | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2009-01-19 |
| 1972754505 | Morgan L. Stearns | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2008-10-01 |
| 1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
| 1932241700 | Ennis Pharmacy & Yesterdays | Pharmacy | 124 Main St, Ennis, MT 59729-0306 | 2007-02-12 |
| Find all providers in zip 59729 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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.