| Organization Name: | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Number: | 1760550354 |
| 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: | 12/01/2006 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 10862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |