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CAH271314-00 Powell County Memorial Hospital Association, Inc. DBA Deer Lodge Medical Center (Active)
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Main Details
Name
Powell County Memorial Hospital Association, Inc. DBA Deer Lodge Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH271314-00
Medicare Provider Number
271314
Additional Details
Current Program Status
Active
Registration Date
8/16/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/19/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Deer Lodge Medical Center
Jaena Richards, CEO
(406) 846-2212 Ext: 108
Primary Contact
Deer Lodge Medical Center
Jennifer J Spring, CFO
(406) 846-2212
Addresses
Street Address
1100 Hollenbeck Ln
Deer Lodge, MT 59722
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/19/12 - Updated entity name (was Powell County Memorial Hospital Association, Inc. DBA Powell County Medical Center) 1/19/12 - Updated addr (was 1101 Texas Avenue)
01/19/2012
April 2025
April 2025
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