HOSPICE OF MISSOULA LLC; NPI #1437143484

Contact Information

HOSPICE OF MISSOULA LLC

800 KENSINGTON AVE
SUITE 209
MISSOULA, MT 59801-5674

Phone: 406-543-4408
Fax: 406-543-4418
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for HOSPICE OF MISSOULA LLC

NPI Number 1437143484

LBN Legal business name HOSPICE OF MISSOULA LLC

Authorized official GREGORY JACKSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/06/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

MT	License #	9596
MT	Medicaid	0750210
MT	Other	350190	BLUE CROSS BLUE SHIELD

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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HOSPICE OF MISSOULA LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for HOSPICE OF MISSOULA LLC

Reviews for HOSPICE OF MISSOULA LLC