NPIMap

Organization Active NPI

Sheridan Memorial Hospital Association

  • Critical Access Hospital Clinic/Center
  • Plentywood, MT
National Provider Identifier
1891859641
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 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
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Greg Maurer
Title
Ceo
Phone
(406) 765-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040903000553 MT Part B Supplier - Clinic/Group Practice 9133038706 Receives reassigned benefits from 40 practitioners
Practice locations: Plentywood, MT

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1891859641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541526",
            "telephone_number": "406-765-3700",
            "fax_number": "406-765-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541526",
            "telephone_number": "406-765-3700",
            "fax_number": "406-765-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-765-3700"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.