Organization
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC
Active
Parent organization
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.
Other names
Deer Lodge Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.
Authorized official
JAENA RICHARDS (CFO)
(406) 846-7717
Entity
Organization
Contact information
Practice address
1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
(406) 846-1722
(406) 846-2789
Mailing address
1100 HOLLENBACK LANE, DEER LODGE, MT 59722-1828
(406) 846-1722
(406) 846-3074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720171
—
MT
Enumeration date
04/12/2007
Last updated
04/03/2024
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