Healthcare Provider Details

I. General information

NPI: 1265507172
Provider Name (Legal Business Name): WHEATLAND MEMORIAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 3RD ST NW
HARLOWTON MT
59036
US

IV. Provider business mailing address

PO BOX 287
HARLOWTON MT
59036-0287
US

V. Phone/Fax

Practice location:
  • Phone: 406-632-4351
  • Fax: 406-632-3172
Mailing address:
  • Phone: 406-632-4351
  • Fax: 406-632-3172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number10879
License Number StateMT

VIII. Authorized Official

Name: MS. DONNA NESTE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 406-632-3115