NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

  • Physical Medicine & Rehabilitation Physician
  • Stevensville, MT
National Provider Identifier
1427779495
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Practice address
3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone
(406) 375-4570
NPI assigned
Sep 8, 2022
Organization subpart
Yes
Parent organization
MARCUS DALY MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Kelly Akkerman
Title
Enrollment
Phone
(406) 375-4824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3975 US Hwy 93 N
Stevensville, MT 59870-6474

Mailing address

1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4824

Other names 1

  • Bitterroot Health Rehabilitation - Stevensville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.bitterroothealth.org

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
Tax ID family
Kootenai Family Practic10 organizations share this tax ID, including this one
Part of
Kootenai Family Practic

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1427779495",
    "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": "406-375-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 US HWY 93 N",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706474",
            "telephone_number": "406-375-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "AKKERMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ENROLLMENT",
        "authorized_official_telephone_number": "406-375-4824"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bitterroothealth.org",
            "affiliation": "N",
            "address_1": "3975 US Hwy 93 N",
            "city": "Stevensville",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598706474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bitterroot Health Rehabilitation - Stevensville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.