# POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.
- **Other names:** Deer Lodge Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841414026
- **Legal business name:** POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.
- **Authorized official:** JAENA RICHARDS (CEO)
- **Authorized official phone:** (406) 846-7717

## Contact information

- **Practice address:** 1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
- **Practice address phone:** (406) 846-1722
- **Practice address fax:** (406) 846-2789
- **Mailing address:** 1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
- **Mailing address phone:** (406) 846-1722
- **Mailing address fax:** (406) 846-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0720171 | — | MT |