Healthcare Provider Details

I. General information

NPI: 1659475846
Provider Name (Legal Business Name): MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTWOOD DRIVE
HAMILTON MT
59840-2395
US

IV. Provider business mailing address

1200 WESTWOOD DR
HAMILTON MT
59840-2395
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-2211
  • Fax: 406-363-6536
Mailing address:
  • Phone: 406-363-2211
  • Fax: 406-363-6536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10168
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number11372
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number12139
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number11372
License Number StateMT

VIII. Authorized Official

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