NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Bitterroot Health-Pain Management and Neurology

  • Pain Medicine Physician
  • Hamilton, MT
National Provider Identifier
1467077453
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Bitterroot Health-Pain Management and Neurology
Practice address
1103 Westwood Dr Ste B
Hamilton, MT 59840-2342
Phone
(406) 375-4119
NPI assigned
Jun 15, 2020
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MARCUS DALY MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
John Condey Bishop
Title
Ceo
Phone
(406) 375-4409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1103 Westwood Dr Ste B
Hamilton, MT 59840-2342

Mailing address

1224 W Main St
Hamilton, MT 59840-2338

Other names 1

  • BITTERROOT HEALTH-PAIN MANAGEMENT AND NEUROLOGY 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
Tax ID family
Ravalli Medical Clinic10 organizations share this tax ID, including this one
Part of
Ravalli Medical Clinic

Other organizations with this tax ID 9

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1467077453",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WESTWOOD DR STE B",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402342",
            "telephone_number": "406-375-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CONDEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-375-4409"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BITTERROOT HEALTH-PAIN MANAGEMENT AND NEUROLOGY",
            "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 Jun 23, 2023; 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.