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ROUNDUP MEMORIAL HOSPITAL ASSOCIATION NPI 1902908262


NPI Information

NPI: 1902908262
Provider Name: ROUNDUP MEMORIAL HOSPITAL ASSOCIATION

Doing Business As: ROUNDUP MEMORIAL HEALTHCARE - CLINIC

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

Specialization: Rural Health

CLIA Number: 27D0873400

Address:
1207 SECOND ST W
ROUNDUP, MT
ZIP 59072
Phone: (406) 323-3337
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ROUNDUP MEMORIAL HOSPITAL ASSOCIATION is a rural health clinic center in Roundup, MT. ROUNDUP MEMORIAL HOSPITAL ASSOCIATION NPI is 1902908262. The provider is registered as an organization entity type.
The provider Is Doing Business As Roundup Memorial Healthcare - Clinic.

The provider's business location address is:

1207 SECOND ST W
ROUNDUP, MT
ZIP 59072-835
Phone: (406) 323-3337
Fax: (406) 323-3002

The provider's authorized official is Holly Wolff .
The authorized official title is Chief Executive Officer and has the following contact phone number (406) 323-2301.

The CLIA number assigned to this NPI record is 27D0873400 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 6/30/2020.


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
1282N00000XGeneral Acute Care Hospital10506MONTANANo
2261QR1300XClinic/CenterRural Health10506MONTANAYes

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
10720395MEDICAIDMONTANA

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

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