Organization Name: | MEMORIAL HOSPITAL ASSOCIATION |
NPI Number: | 1336119338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLEY EVANS (CAO) |
Mailing Address: | 2525 North Broadway Red Lodge |
State: | MT US |
Postal Code: | 590680590 |
Phone Number: | 4064462345 |
Fax Number: | 4064460084 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |