POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC (NPI# 1891159877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891159877 |
| Entity Type | Organization |
| Organization Name | POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC |
| Other Organization Name | DEER LODGE MEDICAL CENTER |
| Practice Address |
1100 Hollenback Ln. Deer Lodge MT 59722 |
| Practice Telephone | 4068462212 |
| Practice Fax Number | 4068462789 |
| Mailing Telephone | 4068462212 |
| Mailing Fax Number | 4068462789 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MRS. JAENA RICHARDS (CFO) |
| Authorized Official Telephone | 4068462212 |
| Is Organization Subpart | Y |
| Parent Organization Name | POWELL COUNTY MEMORIAL HOSPITAL ASSOCIAT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
MT | Hospitals |
| Other Name | Type Code |
|---|---|
| Deer Lodge Medical Center | Doing Business As Name - Organization |
| Street Address |
1100 HOLLENBACK LN. |
| City | DEER LODGE |
| State | MT |
| Zip Code | 59722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083937 | Summera Qamar | Family Medicine | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
| 1700825478 | Powell County Ambulance Service Inc | Ambulance | 1101 Texas Ave, Deer Lodge, MT 59722 | 2006-06-06 |
| 1891916318 | Kimberly J Stavlo | Speech-Language Pathologist | 310 Main Street, Deer Lodge, MT 59722 | 2007-05-01 |
| 1750393757 | Lori Lee Drumm | Family Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-08-12 |
| 1306262803 | Cottonwood Clinic, LLC | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2014-03-10 |
| 1750600375 | Deer Lodge Valley Therapy | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1000 | 2010-05-21 |
| 1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
| 1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
| 1477734416 | Powell County Health Department | Clinic/Center | 304 Milwaukee Ave Ste 23, Deer Lodge, MT 59722-1035 | 2007-11-19 |
| 1780854927 | Deer Lodge Valley Therapy Clinic, Inc. | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1057 | 2008-03-04 |
| Find all providers in zip 59722 | ||||
| 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 |
|---|---|---|---|---|
| 1679941967 | Ruby Valley Hospital | General Acute Care Hospital | 220 E Crofoot Ln, Sheridan, MT 59749-7714 | 2015-09-03 |
| 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 |
| 1659433175 | Memorial Hospital Association | General Acute Care Hospital | 600 W 21st Street, Red Lodge, MT 59068-0590 | 2006-12-14 |
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1053488387 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 710 N 11th Street, Columbus, MT 59019-0959 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | DEER LODGE |
| Zip Code | 59722 |
Please comment or provide details below to improve the information on POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.
| 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.