DEER LODGE MEDICAL CENTER – NPI #1275560617
General Acute Care Hospital

DEER LODGE MEDICAL CENTER is a general acute care hospital located in DEER LODGE, MT. NPPES has assigned the NPI number 1275560617 to DEER LODGE MEDICAL CENTER on June 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEER LODGE MEDICAL CENTER” is a dba name, the actual legal business name for this organization is POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 2 years ago on Apr 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEER LODGE MEDICAL CENTER below.

NPI Profile for
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC

NPI Number
1275560617
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC
Doing Business As (dba): DEER LODGE MEDICAL CENTER
Primary location
1100 HOLLENBACK LANE
DEER LODGE, MT 59722-1828
Phone: (406) 846-2212 Fax: (406) 846-3074
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAENA RICHARDS
COO
Phone: (406) 846-7717
Updated
Certification Date
Apr 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEER LODGE MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMT3100383
medicaidMT0311701
medicaidMT0411740
medicaidMT3503227
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
MT 10408
314000000X
- Skilled Nursing Facility
MT 9623

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.