NPIMap

Organization Active NPI

Sheridan Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Plentywood, MT
National Provider Identifier
1962428706
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10179 Issued in MT
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
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Wayne J Nelson
Title
Ceo
Phone
(406) 765-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10179 MT Primary

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 2

IdentifierTypeStateIssuer
3100279MedicaidMT
60792OtherMTBC BS

Other names 1

  • SHERIDAN MEMORIAL HOSPITAL Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Amb Serv7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1962428706",
    "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": "2006-07-14",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-765-3700"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "10179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100279",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "60792",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERIDAN MEMORIAL HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.