NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Bitterroot Health-Eye Clinic

  • Ophthalmology Physician
  • Hamilton, MT
National Provider Identifier
1285676445
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Bitterroot Health-Eye Clinic
Practice address
300 N 10TH St
Suite a
Hamilton, MT 59840
Phone
(406) 363-5434
Fax
(406) 363-5210
NPI assigned
Jun 12, 2006
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John C Bishop
Title
Ceo
Phone
(406) 363-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

300 N 10TH St
Suite a
Hamilton, MT 59840

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 375-4823

Other identifiers 2

IdentifierTypeStateIssuer
1285676445MedicaidID
1285676445MedicaidMT

Other names 1

  • Bitterroot Health-Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202001033 MT Part B Supplier - Clinic/Group Practice 5597664474 Receives reassigned benefits from 177 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stevensville, MT; Hamilton, MT; Darby, MT

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Locations

300 N 10th St
Ste A
Hamilton, MT 59840
Phone (406) 363-5434

Interoperability endpoints

  • Direct secure messaging: balonzo@bitterrooteye.intellechartdirect.net
  • Direct secure messaging: mcalderwood@bitterrooteye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1285676445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-375-4823",
            "fax_number": "406-375-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-363-5434",
            "fax_number": "406-363-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-363-2211"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285676445",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285676445",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bitterroot Health-Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.