Healthcare Provider Details

I. General information

NPI: 1982828273
Provider Name (Legal Business Name): DANIELS MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 5TH AVENUE EAST
SCOBEY MT
59263-0400
US

IV. Provider business mailing address

105 5TH AVENUE EAST
SCOBEY MT
59263-0400
US

V. Phone/Fax

Practice location:
  • Phone: 406-487-2296
  • Fax: 406-487-2680
Mailing address:
  • Phone: 406-487-2296
  • Fax: 406-487-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number10944
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number10944
License Number StateMT

VIII. Authorized Official

Name: MELISSA ANNE ALDRICH
Title or Position: MANAGER
Credential:
Phone: 406-487-2296