NPIMap

Organization Active NPI

Daniels Memorial Hospital

  • Rural Health Clinic/Center
  • Scobey, MT
National Provider Identifier
1750459632
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DANIELS MEMORIAL HOSPITAL
Practice address
105 5TH Ave. East
Scobey, MT 59263
Phone
(406) 487-2296
NPI assigned
Dec 1, 2006
Last updated
Nov 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
DANIELS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Melissa Anne Aldrich
Title
Manager
Phone
(406) 487-2296

Specialties & licenses 1

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

Addresses

Primary practice location

105 5TH Ave. East
Scobey, MT 59263

Mailing address

105 5TH Ave. East
Scobey, MT 59263
Phone (406) 487-2296

Other identifiers 2

IdentifierTypeStateIssuer
000085097OtherMTMEDICARE GROUP HEALTH
720443MedicaidMT

Other names 1

  • Daniels Memorial Hospital Association Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040518001546 MT Part B Supplier - Clinic/Group Practice 4880685965 Receives reassigned benefits from 49 practitioners
Practice locations: Billings, MT; Scobey, MT
O20060406000735 MT Part A Provider - Rural Health Clinic 4880685965 Practice locations: Scobey, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750459632. Details of each certification follow.

Rural health clinic certification: CCN 273998

Legal name
DANIELS MEMORIAL HOSPITAL
Doing business as
DANIELS MEMORIAL HEALTHCARE CENTER RHC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2002
Last certification
Jul 23, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 26, 1944 in MT
Enrollment address
105 5TH Ave E
Scobey, MT 59263

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Part of
Daniels Memorial Hospital Association

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
Kody Brinton Individual Contracted Managing Employee Nov 2, 2021
Corporate Officer Nov 2, 2021
Operational/Managerial Control Nov 2, 2021
Paul Kanning Individual Corporate Director Dec 31, 2021
Jedda Barron Individual Corporate Director Dec 1, 2016
Jack Pittenger Individual Corporate Director Dec 1, 2016
Carrie Wilson Individual Corporate Director Dec 31, 2021
Tanner Trower Individual Corporate Director Dec 31, 2021
Clifford Hames Individual Corporate Director Dec 31, 2021

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1750459632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 5TH AVE. EAST",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "59263",
            "telephone_number": "406-487-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVE. EAST",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "59263",
            "telephone_number": "406-487-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIELS MEMORIAL HOSPITAL",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-487-2296"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP HEALTH",
            "identifier": "000085097",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720443",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Memorial Hospital Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Scobey, MT

Sources for this page

Verify at the official NPI Registry.