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General NPI Number Information
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NPI Number | 1184785099
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2525 NORTH BROADWAY
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City | RED LODGE
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State | MT
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Zip | 59068-0590
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Country | US
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Telephone | 406-446-2345
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Fax | 406-446-0084
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Provider Business Mailing Address
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Address Line | PO BOX 590
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City | RED LODGE
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State | MT
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Zip | 59068-0590
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Country | US
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Telephone | 406-446-2345
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Fax | 406-446-0084
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | STEPHANIE BALDWIN
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Credential |
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Telephone | 406-446-0667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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