NPIMap

Organization Active NPI

Dahl Memorial Healthcare Association

  • Skilled Nursing Facility
  • Ekalaka, MT
National Provider Identifier
1992786933
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9952 Issued in MT
Legal business name
DAHL MEMORIAL HEALTHCARE ASSOCIATION
Practice address
106 E Park St
Ekalaka, MT 59324
Phone
(406) 775-8730
Fax
(406) 775-6479
NPI assigned
Nov 8, 2005
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Cindy K Enos, SS
Title
Social Services Director
Phone
(406) 775-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 9952 MT Primary

Addresses

Primary practice location

106 E Park St
Ekalaka, MT 59324

Mailing address

PO Box 46
Ekalaka, MT 59324-0046
Phone (406) 775-8730

Other identifiers 1

IdentifierTypeStateIssuer
31-8981MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000566 MT Part B Supplier - Clinic/Group Practice 1658323373 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ekalaka, MT

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Dahl Memorial Maf6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1992786933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "EKALAKA",
            "state": "MT",
            "postal_code": "593240046",
            "telephone_number": "406-775-8730",
            "fax_number": "406-775-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PARK ST",
            "city": "EKALAKA",
            "state": "MT",
            "postal_code": "59324",
            "telephone_number": "406-775-8730",
            "fax_number": "406-775-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHL MEMORIAL HEALTHCARE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "ENOS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOCIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "406-775-8730",
        "authorized_official_credential": "SS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "9952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-8981",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ekalaka, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.