| Organization Name: | GLENDIVE MEDICAL CENTER, INC |
| NPI Number: | 1447260195 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA MARKHAM (CFO) |
| Mailing Address: | 2000 Montana Ave Glendive |
| State: | MT US |
| Postal Code: | 593303700 |
| Phone Number: | 4063458855 |
| Fax Number: | 4063458121 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |