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NPI Code Detail

MEDICARE: SHERIDAN MEMORIAL HOSPITAL ASSOCIATION

MEDICARE: SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255362851
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : 440 WEST LAUREL AVE
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1526
Country : US
Telephone Number : 406-765-3700
Fax Number : 406-765-3800
Provider Business Practice Location Address
First Line : 440 W LAUREL AVE
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1526
Country : US
Telephone Number : 406-765-3700
Fax Number : 406-765-3800
Authorized Official
Title or Position : CEO
Name : MR. WAYNE J NELSON
Credential :
Telephone Number : 406-765-3700
Provider Enumeration Date : 07/05/2006
Last Update Date : 08/22/2020

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Practice Location Address:
440 W LAUREL AVE
PLENTYWOOD, MT
59254-1526
Practice Phone: 406-765-3700
Practice Fax: 406-765-3800
1710939442 — SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
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1629020359 — SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
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1538111265 — SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
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440 W LAUREL AVE
PLENTYWOOD, MT
59254-1526
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1962428706 — SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
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440 W LAUREL AVE
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1326148057 — SHERIDAN MEMORIAL HOSPITAL ASSOCIATION DBA SHERIDAN MEMORIAL DME AND HOME OXYGEN
Practice Location Address:
440 W LAUREL AVE
PLENTYWOOD, MT
59254-1526
Practice Phone: 406-765-3700
Practice Fax: 406-765-3800

Directions to “SHERIDAN MEMORIAL HOSPITAL ASSOCIATION ” Practice Location

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