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Contact Information

BIG SKY LIFE SUPPORT
8420 PHEASANT DR
MISSOULA, MT59808-1012
 Phone: 406-880-0184
 Fax: 406-258-0512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BIG SKY LIFE SUPPORT

NPI Number 1154079366
LBN Legal business name BIG SKY LIFE SUPPORT
Authorized official CHRISTOPHER BUCKLES - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2022
Last updated 03/16/2022 - About 4 years ago
Identifiers
MT Medicaid 251S00000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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