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GREAT FALLS HEALTH CARE COMPANY LLC NPI 1639123656


NPI Information

NPI: 1639123656
Provider Name: GREAT FALLS HEALTH CARE COMPANY, LLC

Doing Business As: THE LODGE SENIOR LIVING CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1801 9TH ST S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 771-7440
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GREAT FALLS HEALTH CARE COMPANY, LLC is an assisted living facility in Great Falls, MT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GREAT FALLS HEALTH CARE COMPANY, LLC NPI is 1639123656. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lodge Senior Living Center.

The provider's business location address is:

1801 9TH ST S
GREAT FALLS, MT
ZIP 59405-608
Phone: (406) 771-7440
Fax: (406) 771-7443

The provider's authorized official is William A. Mathies .
The authorized official title is President Director and has the following contact phone number (505) 821-3355.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 9/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility10488MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10820318MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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