NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Bitterroot Health - Stevensville

  • Rural Health Clinic/Center
  • Stevensville, MT
National Provider Identifier
1346337664
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Bitterroot Health - Stevensville
Practice address
3975 US Highway 93 N
Stevensville, MT 59870
Phone
(406) 777-6002
Fax
(406) 206-2965
NPI assigned
Oct 6, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

3975 US Highway 93 N
Stevensville, MT 59870

Mailing address

1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4836

Other names 1

  • Bitterroot Health - Stevensville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

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
O20100507000350 MT Part A Provider - Rural Health Clinic 5597664474 Practice locations: Stevensville, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346337664. Details of each certification follow.

Rural health clinic certification: CCN 273420

Legal name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
BITTERROOT HEALTH-STEVENSVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2010
Last certification
Aug 22, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 1929 in MT
Enrollment address
3975 US Highway 93 N
Stevensville, MT 59870-6474
Related CCNs
271340

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James H Owings Individual Corporate Director Mar 5, 2010
John Bishop Individual Corporate OfficerCeo Jun 27, 2018
Corporate DirectorCeo Jun 27, 2018
W-2 Managing EmployeeCeo Jun 27, 2018
Barbara Ackerman Individual Corporate Director Mar 5, 2010
Marcus Daly Memorial Hospital Corporation Organization, Hamilton, MT Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Donald L Lodmell Individual Corporate Director Mar 5, 2010
Frederick M Ilgenfritz Individual Corporate Director Mar 5, 2010
Kelly Akkerman Individual W-2 Managing Employee Jan 14, 2013

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bitterroot Health-Daly HospitalHamilton, MT, CCN 271340 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1966
Bitterroot Health-Swing BedHamilton, MT, CCN 27Z340 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
Bitterroot Health- HospiceHamilton, MT, CCN 271508 Hospice Operational/Managerial Control (100%) Jun 1, 2017
Bitterroot Health-HamiltonHamilton, MT, CCN 273419 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 5, 2010
Bitterroot Health-VictorVictor, MT, CCN 273429 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 22, 2017
Nov 22, 2017
Bitterroot Health - Darby Scripps ClinicDarby, MT, CCN 273430 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 22, 2017

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1346337664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402338",
            "telephone_number": "406-375-4836",
            "fax_number": "406-375-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 US HIGHWAY 93 N",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "406-777-6002",
            "fax_number": "406-206-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bitterroot Health - Stevensville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bitterroot Health - Stevensville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.