- Enrollment id
- O20030218000013
- Enrollment state
- MT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1538111265
- Multiple npi flag
- N
- Ccn
- 271526
- Associate id
- 9133038706
- Organization name
- SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
- Doing business as name
- SHERIDAN MEMORIAL HOSPICE
- Incorporation date
- 1922-03-01
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 440 W LAUREL AVE
- City
- PLENTYWOOD
- State
- MT
- Zip code
- 592541526