MARCUS DALY MEMORIAL HOSPITAL CORPORATION NPI 1396832127

NPI Information

NPI: 1396832127
Provider Name: MARCUS DALY MEMORIAL HOSPITAL CORPORATION

Doing Business As: BITTERROOT HEALTH-CORVALLIS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1037 MAIN STREET
CORVALLIS, MT
ZIP 59828
Phone: (406) 961-4661
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MARCUS DALY MEMORIAL HOSPITAL CORPORATION is a rural health clinic center in Corvallis, MT. MARCUS DALY MEMORIAL HOSPITAL CORPORATION NPI is 1396832127. The provider is registered as an organization entity type.
The provider Is Doing Business As Bitterroot Health-corvallis.

The provider's business location address is:

1037 MAIN STREET
CORVALLIS, MT
ZIP 59828-374
Phone: (406) 961-4661
Fax: (406) 961-4260

The provider's authorized official is John C Bishop .
The authorized official title is Ceo and has the following contact phone number (406) 363-2211.

The CLIA number assigned to this NPI record is 27D0411039 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	12139	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1396832127	MEDICAID	IDAHO
2	1396832127	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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