# SHERIDAN MEMORIAL HOSPITAL ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891859641
- **Authorized official:** GREG MAURER (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 |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |
| 282NC0060X | Critical Access Hospital | 10179 | MT | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 01/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000015741 | BLUE CROSS BLUE SHIELD | MT |
| 05 | — | 0356720 | — | MT |