SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
NPI 1164597720
General Acute Care Hospital - Critical Access in Plentywood, MT

Q: What is Sheridan Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Active since November 21, 2006CLIA Certified · 2 labs

440 W LAUREL AVE, PLENTYWOOD, MT 59254(406) 765-3700(406) 765-3800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sheridan Memorial Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN MEMORIAL HOSPITAL ASSOCIATION (NPI 1164597720) is a healthcare organization registered as a critical access in Plentywood, Montana and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Wayne J Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164597720

Entity TypeOrganization

Primary Taxonomy282NC0060X

Legal Business NameSHERIDAN MEMORIAL HOSPITAL ASSOCIATION

Location Address440 W LAUREL AVEPlentywood, MT 59254-1526

Mailing Address440 W Laurel AvePlentywood, MT 59254-1526 · (406) 765-3700 · Fax (406) 765-3800

Phone(406) 765-3700

Fax(406) 765-3800

Organization SubpartNo

Authorized OfficialWayne J NelsonCeo · (406) 765-3700

Enumeration DateNovember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164597720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in MT · 10179

440 W LAUREL AVE, Plentywood, MT 59254

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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2102222

Sheridan Memorial Hospital · Plentywood, MT

Active · expires Sep 16, 2027

CLIA Number27D2102222

Laboratory TypeAmbulance

Certificate Effective DateSeptember 17, 2025

Certificate Expiration DateSeptember 16, 2027

Laboratory DirectorDr. Siavish D. Shahbodaghi

Laboratory Phone(406) 765-3700

Laboratory LocationSheridan Memorial Hospital440 West Laurel Ave, Plentywood, MT 59254

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 27D0409807

Sheridan Memorial Hospital Association · Plentywood, MT

Active · expires Mar 15, 2027

CLIA Number27D0409807

Laboratory TypeHospital

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorDr. Darren Buonocore

Laboratory Phone(406) 765-3123

Laboratory LocationSheridan Memorial Hospital Association440 West Laurel Avenue, Plentywood, MT 59254

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SANDRA LEE OVERGAARD

Social Worker (Clinical)