Dahl Memorial Healthcare Association Inc

Organization Active NPI Rural Health Clinic/Center · Ekalaka, MT

NPI 1700935368 · NPPES record last updated Jan 13, 2026

Key facts

NPI
1700935368
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
Practice address
106 E Park St
Ekalaka, MT 59324-0046
Phone
(406) 775-8730
Fax
(406) 775-6479
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

Name
Darrell Keith Messersmith
Title
Ceo
Phone
(970) 315-3768

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 5

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

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

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Rural health clinic certification: CCN 273976

Legal name
DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
Doing business as
DAHL MEMORIAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 6, 1989
Last certification
Jun 7, 2023
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Oct 12, 1988 in MT
Enrollment address
215 Sandy St
Ekalaka, MT 59324-0046
Related CCNs
271302

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Brittani Rose Brence
Individual
Corporate Director Sep 15, 2014
Everly Gene Richards
Individual
Corporate Director Sep 8, 2016
Melody Loken
Individual
Corporate Director Sep 17, 2015
Robin Coleen Markuson
Individual
Corporate Director Sep 7, 2015
Jitt Schneider
Individual
Corporate Director Sep 17, 2015
Edward Leroy Powell
Individual
Corporate Director Sep 17, 2015
Nadine Elmore
Individual
Corporate Officer
Ceo
Mar 21, 2008
W-2 Managing Employee
Ceo
Mar 21, 2008
Troy Fruit
Individual
Corporate Director Sep 17, 2015

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Dahl Memorial Swingbed
Ekalaka, MT · CCN 27Z302
Hospital Operational/Managerial Control May 21, 2008
Dahl Memorial Healthcare Association Inc
Ekalaka, MT · CCN 271302
Hospital Operational/Managerial Control May 21, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080521000113 MT Part a Provider - Rural Health Clinic 1658323373 Practice locations: Ekalaka, MT

National Provider Directory

Tax ID family
Dahl Memorial Healthcare Association Inc (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MT Yes

Addresses

Primary practice location

106 E Park St
Ekalaka, MT 59324-0046

Mailing address

PO Box 46
Ekalaka, MT 59324-0046
Phone (406) 775-8738

Other identifiers

IdentifierTypeStateIssuer
1700935368MedicaidMT

Other names

  • Dahl Memorial Clinic Other name

Other providers in Ekalaka, MT

All providers in Ekalaka, MT · Rural Health Clinic/Center in Montana

Sources for this page

Verify at the official NPI Registry.