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MARCUS DALY MEMORIAL HOSPITAL CORPORATION NPI 1477862522


NPI Information

NPI: 1477862522
Provider Name: MARCUS DALY MEMORIAL HOSPITAL CORPORATION

Doing Business As: RAVALLI UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1224 W MAIN ST
HAMILTON, MT
ZIP 59840
Phone: (406) 375-4888
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MARCUS DALY MEMORIAL HOSPITAL CORPORATION is an urology in Hamilton, MT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MARCUS DALY MEMORIAL HOSPITAL CORPORATION NPI is 1477862522. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravalli Urology.

The provider's business location address is:

1224 W MAIN ST
HAMILTON, MT
ZIP 59840-338
Phone: (406) 375-4888
Fax: (406) 375-4867

The provider's authorized official is Donja C Erdman .
The authorized official title is Chief Financial Officer and has the following contact phone number (406) 363-2211.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 11/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyNo
2208800000XUrologyMONTANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477862522MEDICAIDIDAHO
21477862522MEDICAIDMONTANA
3M000009917MEDICARE OSCAR/CERTIFICATIONMONTANA

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: 11/14/2023

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