NPIMap

Organization Active NPI

Marcus Daly Memorial Hospital Corporation

Doing business as Bitterroot Health-Victor

  • Rural Health Clinic/Center
  • Victor, MT
National Provider Identifier
1962949982
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
Bitterroot Health-Victor
Practice address
2386 US Highway 93 N
Victor, MT 59875
Phone
(406) 375-2990
Fax
(406) 375-2994
NPI assigned
Jan 28, 2017
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
John C Bishop
Title
C.E.O.
Phone
(406) 363-2211

Specialties & licenses 1

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

Addresses

Primary practice location

2386 US Highway 93 N
Victor, MT 59875

Mailing address

1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4823

Other names 1

  • Bitterroot Health-Victor Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202001033 MT Part B Supplier - Clinic/Group Practice 5597664474 Receives reassigned benefits from 177 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stevensville, MT; Hamilton, MT; Darby, MT
O20180105000031 MT Part A Provider - Rural Health Clinic 5597664474 Practice locations: Victor, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962949982. Details of each certification follow.

Rural health clinic certification: CCN 273429

Legal name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as
BITTERROOT HEALTH-VICTOR
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 12, 2018
Last certification
Jan 7, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 1929 in MT
Enrollment address
2386 US Highway 93 N
Victor, MT 59875-9211
Related CCNs
271340

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

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lawrence D Brouwer Individual Corporate Director May 1, 2018
Lois a Hedg-Peth Individual Corporate Director Aug 1, 2015
Thomas E Anderson Individual Corporate Director Oct 27, 2014
Bret Young Individual Corporate Director Jun 1, 2019
John Bishop Individual Corporate OfficerCeo Jun 27, 2018
Corporate DirectorCeo Jun 27, 2018
W-2 Managing EmployeeCeo Jun 27, 2018
Mark E Jergens Individual Corporate Director Oct 1, 2019
Marcus Daly Memorial Hospital Corporation Organization, Hamilton, MT Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Nov 22, 2017 100%
Operational/Managerial Control Nov 22, 2017
Linda Catherine Dodds Individual Corporate Director Oct 1, 2017
Jim Cordle Individual Corporate Director Feb 23, 2021
Robert Whalen Individual Corporate Director Nov 1, 2016
Christine Lewanski Individual Corporate Director Oct 1, 2021
Timothy W Woods Individual Corporate Director Apr 1, 2016
Jaime Devlin Individual Corporate Director Nov 1, 2021

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Bitterroot Health-Daly HospitalHamilton, MT, CCN 271340 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1966
Bitterroot Health-Swing BedHamilton, MT, CCN 27Z340 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
Bitterroot Health- HospiceHamilton, MT, CCN 271508 Hospice Operational/Managerial Control (100%) Jun 1, 2017
Bitterroot Health-StevensvilleStevensville, MT, CCN 273420 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Bitterroot Health-HamiltonHamilton, MT, CCN 273419 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 5, 2010
Bitterroot Health - Darby Scripps ClinicDarby, MT, CCN 273430 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 22, 2017

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1962949982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402338",
            "telephone_number": "406-375-4823",
            "fax_number": "406-375-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 US HIGHWAY 93 N",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "59875",
            "telephone_number": "406-375-2990",
            "fax_number": "406-375-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "406-363-2211"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bitterroot Health-Victor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victor, MT

Sources for this page

Verify at the official NPI Registry.