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Contact Information

EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC
425 1ST AVE N
GREAT FALLS, MT59401-2507
 Phone: 406-454-3883
 Fax: 406-454-3235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC

NPI # 1437159035
LBN Legal business name EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC
Authorized official MARK SHERMAN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/26/2005
Last updated 03/26/2019 - About 7 years ago
Identifiers
MT Medicaid 740044
MT Other 217990 BCBS
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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