NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Marcus Daly Memorial Hospital Sleep Center

  • Sleep Medicine (Internal Medicine) Physician
  • Hamilton, MT
National Provider Identifier
1316245863
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
12139 Issued in MT
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Marcus Daly Memorial Hospital Sleep Center
Practice address
1200 Westwood Dr
Hamilton, MT 59840-2395
Phone
(406) 375-4801
Fax
(406) 375-4439
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Donja C Erdman
Title
Fhfma, Cpa, Cfo
Phone
(406) 363-2211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 12139 MT
Pulmonary Disease Physician 207RP1001X 12139 MT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 12139 MT Primary

Addresses

Primary practice location

1200 Westwood Dr
Hamilton, MT 59840-2395

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2395
Phone (406) 363-2211

Other names 1

  • Marcus Daly Memorial Hospital Sleep Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kootenai Family Practic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1316245863",
    "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": "598402395",
            "telephone_number": "406-363-2211",
            "fax_number": "406-363-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402395",
            "telephone_number": "406-375-4801",
            "fax_number": "406-375-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "DONJA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FHFMA, CPA, CFO",
        "authorized_official_telephone_number": "406-363-2211"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MT",
            "license": "12139",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MT",
            "license": "12139",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MT",
            "license": "12139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcus Daly Memorial Hospital Sleep Center",
            "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 Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.