Public record

CMS Hospice All Owners

Associate id: 5597664474 · 19 matching records

Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
1153504485
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-06-01
First name - owner
WILLIAM
Middle name - owner
H
Last name - owner
BEAN
Title - owner
BOARD MEMBER, CHAIRMAN
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
1557641214
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-01
First name - owner
LOIS
Middle name - owner
A
Last name - owner
HEDG-PETH
Title - owner
BOARD MEMBER - VICE CHAIRPERSON
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
2769704964
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-11-01
First name - owner
THOMAS
Middle name - owner
E
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
3173786159
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-06-27
First name - owner
JOHN
Last name - owner
BISHOP
Title - owner
CEO
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
3173786159
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-06-27
First name - owner
JOHN
Last name - owner
BISHOP
Title - owner
CEO
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
3870546658
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-11-01
First name - owner
BRIAN
Middle name - owner
M
Last name - owner
KELLEHER
Title - owner
BOARD MEMBER
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
4587792833
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-10-01
First name - owner
BARBARA
Last name - owner
ACKERMAN
Title - owner
BOARD MEMBER
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
4981707528
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-11-02
First name - owner
DONJA
Middle name - owner
C
Last name - owner
ERDMAN
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
4981707528
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2005-11-02
First name - owner
DONJA
Middle name - owner
C
Last name - owner
ERDMAN
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
4981707528
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-11-02
First name - owner
DONJA
Middle name - owner
C
Last name - owner
ERDMAN
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
5597664474
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-06-01
Organization name - owner
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Doing business as name - owner
BITTERROOT HEALTH- SWING BED
Address line 1 - owner
1200 WESTWOOD DR
City - owner
HAMILTON
State - owner
MT
Zip code - owner
598402345
Percentage ownership
100
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
Y
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
6406139401
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-01
First name - owner
ROBERT
Last name - owner
WHALEN
Title - owner
BOARD MEMBER
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
6507149507
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-10-01
First name - owner
LISA
Middle name - owner
K
Last name - owner
GLENN
Title - owner
BOARD MEMBER
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
6800789116
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-06-01
First name - owner
WALKER
Middle name - owner
J
Last name - owner
ASHCRAFT
Title - owner
MEDICAL DIRECTOR OF HOSPICE
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
6901190388
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-11-02
First name - owner
TROY
Middle name - owner
L
Last name - owner
HANSON
Title - owner
ASSISTANT ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
6901190388
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2003-11-02
First name - owner
TROY
Middle name - owner
L
Last name - owner
HANSON
Title - owner
ASSISTANT ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
7911155361
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2009-09-01
First name - owner
DEBRA
Middle name - owner
M
Last name - owner
STEPHENSON
Title - owner
PROVIDER ENROLLMENT CREDENTIALIN
Percentage ownership
0
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
8022330224
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-11-01
First name - owner
SUSANNAH
Last name - owner
BENJAMIN
Title - owner
BOARD MEMBER
Enrollment id
O20120411000251
Associate id
5597664474
Organization name
MARCUS DALY MEMORIAL HOSPITAL CORPORATION
Associate id - owner
8426033176
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-04-01
First name - owner
TIMOTHY
Middle name - owner
W
Last name - owner
WOODS
Title - owner
BOARD MEMBER

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