Healthcare Provider Details

I. General information

NPI: 1346337664
Provider Name (Legal Business Name): MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/16/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 US HIGHWAY 93 N
STEVENSVILLE MT
59870
US

IV. Provider business mailing address

1224 W MAIN ST
HAMILTON MT
59840-2338
US

V. Phone/Fax

Practice location:
  • Phone: 406-777-6002
  • Fax: 406-206-2965
Mailing address:
  • Phone: 406-375-4836
  • Fax: 406-375-4458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

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