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27D0855837 CLIA NUMBER - PEACE HOSPICE OF MONTANA

Laboratory Demographics

CLIA Number: 27D0855837

Facility Name: PEACE HOSPICE OF MONTANA

Facility Address:
1101 26TH STREET SOUTH
GREAT FALLS, MT
ZIP 59405
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Facility Phone Number: 406 455-2820

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1750398665

Taxonomy: 315D00000X - Hospice, Inpatient
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

CLIA Record

Field Name Field Value
CLIA Number 27D0855837
LAB Type Hospice
Facility Name PEACE HOSPICE OF MONTANA
Street 1101 26TH STREET SOUTH
City GREAT FALLS
State MT
ZIP 59405
Phone 406 455-2820
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024