Sheridan Memorial Hospital Association
Organization Active NPI Critical Access Hospital Clinic/Center · Plentywood, MT
NPI 1891859641 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1891859641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital Clinic/Center 261QC0050X
- Legal business name
- SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
- Practice address
- 440 W Laurel Ave
Plentywood, MT 59254-1526 - Phone
- (406) 765-3700
- Fax
- (406) 765-3800
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Greg Maurer
- Title
- Ceo
- Phone
- (406) 765-3700
Other NPIs with the same Medicare PAC ID 6
Practitioners 51
-
Abigail Marie Ator, PA-C
-
Erin Colleen Bevan, FNP-C
-
Jennifer Leigh Hoversland, APRN-FNP
-
Stephanie Kanning, FNP
-
Elizabeth Ellen Kleppen, RN, PA-C
-
Anne M Millard, M.D.
-
Brit Lindsey Nyby, PA-C
-
Ronald Ray, DNAP, CRNA, FNP, ENP
-
John C Sillery, M.D.
-
Carlos F Trevino, MD, PC
-
Lina Bajraktari, N.P.
-
Mike Douglas Berry, FNP
-
Mary Magner, MD
-
Siavash David Shahbodaghi, MD/MPH
-
Filip Turcer, MD
-
Julie L Sweet-Perez, ARNP
-
Douglas Bell, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040903000553 | MT | Part B Supplier - Clinic/Group Practice | 9133038706 |
Receives reassigned benefits from 40 practitioners Practice locations: Plentywood, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | Yes | ||
| Critical Access Hospital | 282NC0060X | 10179 | MT |
Addresses
Primary practice location
440 W Laurel Ave
Plentywood, MT 59254-1526
Mailing address
440 W Laurel Ave
Plentywood, MT 59254-1526
Phone (406) 765-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000015741 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0356720 | Medicaid | MT |
Other providers in Plentywood, MT
- Sheridan Memorial Hospital Association
- Sheridan Memorial Hospital Association
- Sheridan Memorial Hospital Association
- Sheridan Memorial Hospital Association
- Sheridan Memorial Hospital Association
- Sheridan Memorial Hospital Association
- Amber Marie Skorpil
- Stevens Dental Group, PC
- Kirk L Stoner
- Alyssa Stromberg
All providers in Plentywood, MT · Critical Access Hospital Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.