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CAH271340-04 Marcus Daly Memorial Hospital Corp (Active)
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Main Details
Name
Marcus Daly Memorial Hospital Corp
Subdivision Name
BITTERROOT HEALTH NEUROSURGERY
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271340-04
Medicare Provider Number
271340
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/17/2017
Last Recertification Date
8/13/2024
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
1190 Westwood Dr
Marcus Daly Memorial Hospital
HAMILTON, MT 59840-2343
Billing Address
Rocky Mountain Neurosurgery Center
1200 Westwood Dr
Hamilton, MT 59840
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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