| Daniels Memorial Hospital | |
|
105 5th Ave. East Scobey MT 59263 | |
| (406) 487-2296 | |
| Not Available |
| Full Name | Daniels Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 5th Ave. East, Scobey, Montana |
| Authorized Official Name and Position | Melissa Anne Aldrich (MANAGER) |
| Authorized Official Contact | 4064872296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniels Memorial Hospital 105 5th Ave. East Scobey MT 59263 Ph: (406) 487-2296 | Daniels Memorial Hospital 105 5th Ave. East Scobey MT 59263 Ph: (406) 487-2296 |
| NPI Number | 1750459632 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 11/10/2017 |
| Medicare PECOS PAC ID | 4880685965 |
|---|---|
| Medicare Enrollment ID | O20040518001546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750459632 | NPI | - | NPPES |
| 000085097 | Other | MT | MEDICARE GROUP HEALTH |
| 720443 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Christine E Drivdahl-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033205687 PECOS PAC ID: 3375437692 Enrollment ID: I20040209000985 |
| Provider Name | Jeffry O Lindenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20040218000968 |
| Provider Name | Bryan J Canty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841309515 PECOS PAC ID: 2567359334 Enrollment ID: I20040304000600 |
| Provider Name | Douglas G Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20040304000747 |
| Provider Name | Bruce C Pinkerton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487737136 PECOS PAC ID: 5294623088 Enrollment ID: I20040304000789 |
| Provider Name | Jonathan P Graeve |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538271507 PECOS PAC ID: 8820986623 Enrollment ID: I20040304000848 |
| Provider Name | David R Lehnherr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952494585 PECOS PAC ID: 5698663235 Enrollment ID: I20040305001065 |
| Provider Name | Dean A Bruschwein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568482081 PECOS PAC ID: 3375433576 Enrollment ID: I20040319000794 |
| Provider Name | Daniel F Alderman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982666442 PECOS PAC ID: 2769466580 Enrollment ID: I20040617000741 |
| Provider Name | Alan R Thometz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992804843 PECOS PAC ID: 0648226308 Enrollment ID: I20050324001219 |
| Provider Name | John Scott Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912943978 PECOS PAC ID: 4183603939 Enrollment ID: I20061005000644 |
| Provider Name | Barbara S Dudczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821026246 PECOS PAC ID: 5496731119 Enrollment ID: I20061031000158 |
| Provider Name | Brian R Rah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518995158 PECOS PAC ID: 6608962691 Enrollment ID: I20071023000080 |
| Provider Name | John C Sillery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699752709 PECOS PAC ID: 1456389402 Enrollment ID: I20081230000156 |
| Provider Name | Lisa A Kincannon-ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366612327 PECOS PAC ID: 7810942513 Enrollment ID: I20090122000700 |
| Provider Name | Zachary M Bland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20090811000627 |
| Provider Name | Sherry S Gairrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174585921 PECOS PAC ID: 0840193314 Enrollment ID: I20100603000000 |
| Provider Name | Deanna Ferestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134420318 PECOS PAC ID: 6800085275 Enrollment ID: I20110117000159 |
| Provider Name | Don Helland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225052046 PECOS PAC ID: 4587668066 Enrollment ID: I20110912000014 |
| Provider Name | Kristin D Scott-tillery |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1730305095 PECOS PAC ID: 9436320918 Enrollment ID: I20110913000392 |
| Provider Name | George E Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966858 PECOS PAC ID: 1052464815 Enrollment ID: I20111005000092 |
| Provider Name | Scott R Paulsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538363635 PECOS PAC ID: 2365533783 Enrollment ID: I20120619000059 |
| Provider Name | Kevin Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649572355 PECOS PAC ID: 9032366869 Enrollment ID: I20120829000425 |
| Provider Name | Loren P Budge |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942414594 PECOS PAC ID: 9739223207 Enrollment ID: I20120910000800 |
| Provider Name | Juwono Sutedjo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114072980 PECOS PAC ID: 9638319015 Enrollment ID: I20130708000486 |
| Provider Name | Benjamin G Plank |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053462200 PECOS PAC ID: 5799830907 Enrollment ID: I20140708002061 |
| Provider Name | Zoe Fugere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754941 PECOS PAC ID: 3779709399 Enrollment ID: I20140716002669 |
| Provider Name | Tara S Bowman Seitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215999222 PECOS PAC ID: 8123063591 Enrollment ID: I20150518001381 |
| Provider Name | Joshua Delavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20150629003083 |
| Provider Name | David A Knierim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720346075 PECOS PAC ID: 6800039660 Enrollment ID: I20150804004214 |
| Provider Name | Collin J Fischer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518933787 PECOS PAC ID: 7618106568 Enrollment ID: I20150831000810 |
| Provider Name | Elizabeth H Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386641488 PECOS PAC ID: 6305860925 Enrollment ID: I20160229001448 |
| Provider Name | Eric J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447561360 PECOS PAC ID: 6002088697 Enrollment ID: I20160729001784 |
| Provider Name | Laith Mahdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578001160 PECOS PAC ID: 9931484318 Enrollment ID: I20170327002137 |
| Provider Name | Heather I Gale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023329513 PECOS PAC ID: 6204068174 Enrollment ID: I20170628003349 |
| Provider Name | Luis G Alvarez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417951922 PECOS PAC ID: 7911801287 Enrollment ID: I20170707000559 |
| Provider Name | Andrew Sunhoo Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417032814 PECOS PAC ID: 7214210772 Enrollment ID: I20171006002477 |
| Provider Name | Patricia Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942244520 PECOS PAC ID: 9638061765 Enrollment ID: I20171120001223 |
| Provider Name | Michael Cheezum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225235013 PECOS PAC ID: 6507000437 Enrollment ID: I20171128002604 |
| Provider Name | Sarah Elizabeth Stilwill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20180105001134 |
| Provider Name | Van W Adamson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417161126 PECOS PAC ID: 6709924376 Enrollment ID: I20180123003438 |
| Provider Name | Joseph D Kay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902996580 PECOS PAC ID: 5698746931 Enrollment ID: I20180403000864 |
| Provider Name | Mariah Lei White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871850040 PECOS PAC ID: 2163663162 Enrollment ID: I20180619002909 |
| Provider Name | William Frederick Dresen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205152469 PECOS PAC ID: 5890924617 Enrollment ID: I20180627000351 |
| Provider Name | Clara Ngai Kay Kwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801183207 PECOS PAC ID: 0143579326 Enrollment ID: I20180821003169 |
| Provider Name | Andrew H Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639140502 PECOS PAC ID: 9537397237 Enrollment ID: I20190306001216 |
| Provider Name | Olamide J. Oladipo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902125768 PECOS PAC ID: 2264670801 Enrollment ID: I20190306001573 |
| Provider Name | Gregory Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437136223 PECOS PAC ID: 1658400585 Enrollment ID: I20190424002301 |
| Provider Name | Adam S Splaver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932155983 PECOS PAC ID: 0244217347 Enrollment ID: I20200123001383 |
| Provider Name | Brett A Oestreich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023384211 PECOS PAC ID: 6901031780 Enrollment ID: I20200602000562 |
| Provider Name | Sean T Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790102606 PECOS PAC ID: 0143447326 Enrollment ID: I20200602001771 |
| Provider Name | Tarek Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578978326 PECOS PAC ID: 1052657640 Enrollment ID: I20200629001457 |
| Provider Name | Andrew G Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205872918 PECOS PAC ID: 5193914562 Enrollment ID: I20200731000924 |
| Provider Name | Juan P Rodriguez-escudero |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699134775 PECOS PAC ID: 7810226867 Enrollment ID: I20200825002955 |
| Provider Name | Emily L Hanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205255494 PECOS PAC ID: 6709004252 Enrollment ID: I20200915000473 |
| Provider Name | Filip O Turcer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922366657 PECOS PAC ID: 9931345451 Enrollment ID: I20210525002875 |
| Provider Name | Shunsuke Aoi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447593181 PECOS PAC ID: 2163760018 Enrollment ID: I20210616001662 |
| Provider Name | Joseph Muhlestein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760826978 PECOS PAC ID: 3870715659 Enrollment ID: I20210706001339 |
| Provider Name | Brandi Lynn Knierim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078455 PECOS PAC ID: 3577960798 Enrollment ID: I20210930000692 |
| Provider Name | Meghan R Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20211012003183 |
| Provider Name | Paul F Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20211013002505 |
| Provider Name | Kimberly Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386303212 PECOS PAC ID: 1850786419 Enrollment ID: I20220317000181 |
| Provider Name | Juan Lozano |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871750604 PECOS PAC ID: 4284873266 Enrollment ID: I20220317001082 |
| Provider Name | Siavash David Shahbodaghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174904981 PECOS PAC ID: 0446560296 Enrollment ID: I20220329001321 |
| Provider Name | Patrick T Noonan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942250204 PECOS PAC ID: 8325930084 Enrollment ID: I20220916000900 |
| Provider Name | Troy B Graybeal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609803162 PECOS PAC ID: 2961767736 Enrollment ID: I20230426000660 |
| Provider Name | Peder Horner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235218942 PECOS PAC ID: 0143398263 Enrollment ID: I20230530002593 |
| Provider Name | Jason Bauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230911000770 |