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CAH271340-06 Marcus Daly Memorial Hospital Corp (Terminated)
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Main Details
Name
Marcus Daly Memorial Hospital Corp
Subdivision Name
BITTERROOT GENERAL & VASCULAR SURGERY
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271340-06
Medicare Provider Number
271340
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/17/2017
Last Recertification Date
8/17/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Marcus Daly Memorial Hospital
John Bishop, CEO
(406) 375-4409
Primary Contact
Marcus Daly Memorial Hospital
Kellie Jones, Clinical Pharmacist
(406) 375-4461
Addresses
Street Address
1150 WESTWOOD DR STE C
HAMILTON, MT 59840-5318
Billing Address
Marcus Daly Memorial Hospital
1200 Westwood Dr
Hamilton, MT 59840
Comments
Medicaid Billing
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