Organization Name: | MEMORIAL HOSPITAL ASSOCIATION |
NPI Number: | 1952479537 |
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: | 275N00000X |
License Number: | 10829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |