SHERIDAN MEMORIAL HOSPITAL ASSOCIATION (NPI# 1891859641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891859641 |
| Entity Type | Organization |
| Organization Name | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
440 W Laurel Ave Plentywood MT 59254-1526 |
| Practice Telephone | 4067653700 |
| Practice Fax Number | 4067653800 |
| Mailing Telephone | 4067653700 |
| Mailing Fax Number | 4067653800 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | GREG MAURER (CEO) |
| Authorized Official Telephone | 4067653700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10179 | MT | Hospitals |
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 000015741 | 01 |
| MT | 0356720 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452102 | Sheridan Memorial Hospital Association | General Acute Care Hospital | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2005-07-22 |
| 1396970638 | Sheridan Memorial Hospital Association | Clinic/Center | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2009-05-15 |
| 1164597720 | Sheridan Memorial Hospital Association | General Acute Care Hospital | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-11-21 |
| 1326148057 | Sheridan Memorial Hospital Association | Durable Medical Equipment & Medical Supplies | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-09-23 |
| 1962428706 | Sheridan Memorial Hospital Association | Medicare Defined Swing Bed Unit | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-07-14 |
| 1255362851 | Sheridan Memorial Hospital Association | General Acute Care Hospital | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-07-05 |
| 1710939442 | Sheridan Memorial Hospital Association | Skilled Nursing Facility | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-05-17 |
| 1629020359 | Sheridan Memorial Hospital Association | Home Health | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-05-17 |
| 1538111265 | Sheridan Memorial Hospital Association | Hospice Care, Community Based | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-05-17 |
| Street Address |
440 W LAUREL AVE |
| City | PLENTYWOOD |
| State | MT |
| Zip Code | 59254-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452102 | Sheridan Memorial Hospital Association | General Acute Care Hospital | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2005-07-22 |
| 1346862836 | Jaycie Dawn Kavon | Physical Therapist | 440 W Laurel Ave, Plentywood, MT 59254-1596 | 2020-05-07 |
| 1790331015 | Vallie Christensen | Nurse Practitioner | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2019-08-13 |
| 1437628567 | Archana Kayastha | Nurse Practitioner | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2018-11-19 |
| 1740728104 | Jenna Thomas | Nurse Practitioner | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2017-02-06 |
| 1396970638 | Sheridan Memorial Hospital Association | Clinic/Center | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2009-05-15 |
| 1245423862 | Leigh Ann Rosemore | Occupational Therapist | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2007-08-27 |
| 1992904833 | Ruth Wyckoff | Surgery | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2007-07-11 |
| 1164597720 | Sheridan Memorial Hospital Association | General Acute Care Hospital | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-11-21 |
| 1326148057 | Sheridan Memorial Hospital Association | Durable Medical Equipment & Medical Supplies | 440 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831528421 | Rachel Hart Howard | Physical Therapist | 440 West Laurel Ave, Plentywood, MT 59254 | 2013-11-05 |
| 1871722645 | Gina Elizabeth Aasheim | Counselor | 110 Grant St Ste B, Plentywood, MT 59254 | 2009-07-14 |
| 1942244983 | Amber Marie Skorpil | Physician Assistant | 448 W Laurel Ave, Plentywood, MT 59254 | 2006-06-16 |
| 1629013750 | Kirk L Stoner | Family Medicine | 448 W Laurel Ave, Plentywood, MT 59254 | 2006-06-20 |
| 1750700068 | Susan E. Kavon | Dental Hygienist | 130 Country Club Ave, Plentywood, MT 59254-1500 | 2014-04-15 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1386977106 | Billings Clinic | Clinic/Center | 448 W Laurel Ave, Plentywood, MT 59254-1526 | 2009-09-11 |
| 1326123696 | Plentywood Clinic, PC | Family Medicine | 448 W Laurel Ave, Plentywood, MT 59254-1526 | 2006-10-26 |
| 1831218718 | Sheridan Daniels Special Education Cooperative | Local Education Agency (LEA) | 100 E Laurel Ave, Plentywood, MT 59254-1644 | 2007-03-29 |
| 1164467833 | Sheri Lynn Hilyard | Counselor | 100 W Laurel Ave, Plentywood, MT 59254-1647 | 2006-06-18 |
| Find all providers in zip 59254 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174660245 | U S Health Dept of Health & Human Services | Clinic/Center | 453 Pine Grove Road, Hays, MT 59527-0620 | 2007-01-30 |
| 1801065396 | Dahl Memorial Healthcare Association Inc | Clinic/Center | 215 Sandy Street, Ekalaka, MT 59324-0046 | 2008-02-28 |
| 1932253093 | St John's Lutheran Hospital Physician's Services | Clinic/Center | 401 Louisiana Ave, Libby, MT 59923-2131 | 2007-01-23 |
| 1942367842 | U S Health Dept of Health & Human Services | Clinic/Center | 669 Agency Main St, Harlem, MT 59526-9455 | 2007-01-02 |
| 1386700763 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-12-29 |
| 1699845958 | Sidney Health Center | Clinic/Center | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-11-08 |
| 1033129622 | Glendive Medical Center, Inc | Clinic/Center | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
| City | PLENTYWOOD |
| Zip Code | 59254 |
Please comment or provide details below to improve the information on SHERIDAN MEMORIAL HOSPITAL ASSOCIATION.
| 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.