| Organization Name: | MADISON VALLEY HOSPITAL INC |
| NPI Number: | 1073556783 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETE BREKHUS (ADMINISTRATOR) |
| Mailing Address: | 7558 Us Hwy 287 Harrison |
| State: | MT US |
| Postal Code: | 59735 |
| Phone Number: | 4066824223 |
| Fax Number: | 4066823874 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 03/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 273412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |