Healthcare Provider Details

I. General information

NPI: 1457656548
Provider Name (Legal Business Name): MARCUS DALY MEMORIAL HOSPITAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTWOOD DR STE H
HAMILTON MT
59840-2345
US

IV. Provider business mailing address

1224 W MAIN ST
HAMILTON MT
59840-2338
US

V. Phone/Fax

Practice location:
  • Phone: 406-375-4868
  • Fax: 406-375-4655
Mailing address:
  • Phone: 406-375-4823
  • Fax: 406-375-4846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN C BISHOP
Title or Position: CEO
Credential:
Phone: 406-363-2211