# SHERIDAN MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710939442
- **Authorized official:** WAYNE NELSON (CEO)
- **Authorized official phone:** (406) 765-3700

## Contact information

- **Practice address:** 440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
- **Practice address phone:** (406) 765-3700
- **Practice address fax:** (406) 765-3800
- **Mailing address:** 440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
- **Mailing address phone:** (406) 765-3700
- **Mailing address fax:** (406) 765-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10702 | MT | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020

## 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 |