Organization
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MAURER (CEO)
(406) 765-3700
Entity
Organization
Contact information
Practice address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-3700
(406) 765-3800
Mailing address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-3700
(406) 765-3800
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
10179
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015741
BLUE CROSS BLUE SHIELD
MT
05
—
0356720
—
MT
Enumeration date
12/19/2006
Last updated
01/26/2016
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