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Contact Information

COPPER RIDGE NURSING AND REHAB CENTER LLC
3251 NETTIE ST
BUTTE, MT59701-6531
 Phone: 801-601-1450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Clinic/Center

261Q00000X
 

Hearing and Speech

261QH0700X
 

Occupational Medicine

261QX0100X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COPPER RIDGE NURSING AND REHAB CENTER LLC

NPI # 1053827824
LBN Legal business name COPPER RIDGE NURSING AND REHAB CENTER LLC
Authorized official DUSTIN MONROE - (GENERAL COUNSEL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/15/2017
Last updated 10/23/2024 - More than a year ago
Identifiers n/a
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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