Organization
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC
Active
Other names
Deer Lodge Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAENA RICHARDS (COO)
(406) 846-7717
Entity
Organization
Contact information
Practice address
1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
(406) 846-2212
(406) 846-3074
Mailing address
1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
(406) 846-2212
(406) 846-3074
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10408
MT
314000000X
Skilled Nursing Facility
9623
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311701
—
MT
05
—
0411740
—
MT
05
—
3100383
—
MT
05
—
3503227
—
MT
Enumeration date
06/28/2006
Last updated
04/03/2024
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