Dahl Memorial Healthcare Association
Organization Active NPI Skilled Nursing Facility · Ekalaka, MT
NPI 1992786933 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1992786933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 9952 (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
- Organization subpart
- No
Authorized official
- Name
- Cindy K Enos, SS
- Title
- Social Services Director
- Phone
- (406) 775-8730
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 5
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Dahl Memorial Healthcare Association Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 9952 | MT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31-8981 | Medicaid | MT |
Other providers in Ekalaka, MT
- Carter County Public Health
- County of Carter
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
All providers in Ekalaka, MT · Skilled Nursing Facility in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.