- Enrollment id
- O20120411000251
- Enrollment state
- MT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1427151828
- Multiple npi flag
- N
- Ccn
- 271508
- Associate id
- 5597664474
- Organization name
- MARCUS DALY MEMORIAL HOSPITAL CORPORATION
- Doing business as name
- BITTERROOT HEALTH- HOSPICE
- Incorporation date
- 1929-12-18
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1200 WESTWOOD DR
- City
- HAMILTON
- State
- MT
- Zip code
- 598402345