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Organization
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE NELSON (CEO)
(406) 765-3700
Entity
Organization
Contact information
Practice address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-3700
(406) 765-3800
Mailing address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-3700
(406) 765-3800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10702
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946
—
ND
05
—
0317434
—
MT
05
—
0349265
—
MT
05
—
0349282
—
MT
05
—
0356720
—
MT
05
—
0533783
—
MT
01
—
40792
BC BS NURSING HOME
MT
Enumeration date
05/17/2006
Last updated
08/22/2020
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