NPIMap

Organization Active NPI

Daniels Memorial Hospital

Doing business as Daniels Memorial Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Scobey, MT
National Provider Identifier
1982828273
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10944 Issued in MT
Legal business name
DANIELS MEMORIAL HOSPITAL
Doing business as
Daniels Memorial Healthcare Center
Practice address
105 5TH Avenue East
Scobey, MT 59263-0400
Phone
(406) 487-2296
Fax
(406) 487-2680
NPI assigned
Apr 11, 2007
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10944 MT Primary
Nursing Facility/Intermediate Care Facility 313M00000X 10944 MT

Addresses

Primary practice location

105 5TH Avenue East
Scobey, MT 59263-0400

Mailing address

105 5TH Avenue East
Scobey, MT 59263-0400
Phone (406) 487-2296

Other names 1

  • Daniels Memorial Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000184 MT Part A Provider - Critical Access Hospital 4880685965 Practice locations: Scobey, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982828273. Details of each certification follow.

Hospital certification: CCN 27Z342

Legal name
DANIELS MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Dec 26, 1944 in MT
Enrollment address
105 5TH Ave E
Scobey, MT 59263-7832
Other Hospital Practice Location

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

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
Tax ID family
Merle Dwane Fitz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 8

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
Melissa Aldrich Individual W-2 Managing EmployeeBusiness Office/Clinic Manager Jul 9, 2009
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 46

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 46

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1982828273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 5TH AVENUE EAST",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630400",
            "telephone_number": "406-487-2296",
            "fax_number": "406-487-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVENUE EAST",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630400",
            "telephone_number": "406-487-2296",
            "fax_number": "406-487-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MT",
            "license": "10944",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MT",
            "license": "10944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Memorial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scobey, MT

Sources for this page

Verify at the official NPI Registry.