NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Bitterroot Health - Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Hamilton, MT
National Provider Identifier
1477662195
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Bitterroot Health - Swing Bed
Practice address
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone
(406) 363-2211
Fax
(406) 363-6536
NPI assigned
Aug 29, 2006
Last updated
Oct 28, 2024By 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 Oct 28, 2024

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
Clinic/Center 261Q00000X
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1200 Westwood Dr
Hamilton, MT 59840-2345

Mailing address

1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 541-1826

Other names 1

  • Bitterroot Health - Swing Bed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000428 MT Part A Provider - Critical Access Hospital 5597664474 Practice locations: Hamilton, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477662195. Details of each certification follow.

Hospital certification: CCN 27Z340

Legal name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
BITTERROOT HEALTH-SWING BED
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 1929 in MT
Enrollment address
1200 Westwood Dr
Hamilton, MT 59840-2345
Hospital Swing-Bed Unit

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).

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.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
William H Bean Individual Corporate DirectorBoard Member Jan 1, 2014
James H Owings Individual Corporate DirectorBoard Member Jan 1, 2014
Thomas E Anderson Individual Corporate DirectorBoard Member Nov 1, 2014
John Bishop Individual Corporate OfficerCeo Jun 27, 2018
W-2 Managing EmployeeCeo Jun 27, 2018
Brian M Kelleher Individual Corporate DirectorBoard Member Jan 1, 2014
Barbara Ackerman Individual Corporate DirectorBoard Member Jan 1, 2014
John Ormiston Individual Corporate DirectorBoard Member Jan 1, 2014
Marcus Daly Memorial Hospital Corporation Organization, Hamilton, MT Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Operational/Managerial Control Jan 1, 1966 100%
Donald L Lodmell Individual Corporate DirectorBoard Member Jan 1, 2014
Walker J Ashcraft Individual Corporate DirectorBoard Member Jan 1, 2014
Gary Bedey Individual Corporate DirectorBoard Member Jan 1, 2014
Frederick M Ilgenfritz Individual Corporate DirectorBoard Member Jan 1, 2014
Kelly Akkerman Individual W-2 Managing EmployeeDelegated Official Jan 14, 2013
Susannah Benjamin Individual Corporate DirectorBoard Member Jan 1, 2014

Owners & managing parties with NPI records 8

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- HospiceHamilton, MT, CCN 271508 Hospice Operational/Managerial Control (100%) Jun 1, 2017
Bitterroot Health-StevensvilleStevensville, MT, CCN 273420 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
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

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1477662195",
    "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": "406-541-1826",
            "fax_number": "406-375-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-2211",
            "fax_number": "406-363-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bitterroot Health - Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.