PRAIRIE RIDGE VILLAGE NPI 1942313283

NPI Information

NPI: 1942313283
Provider Name: PRAIRIE RIDGE VILLAGE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
521 4TH AVE S
GLASGOW, MT
ZIP 59230
Phone: (406) 228-2208
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PRAIRIE RIDGE VILLAGE is an assisted living facility in Glasgow, 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. PRAIRIE RIDGE VILLAGE NPI is 1942313283. The provider is registered as an organization entity type.

The provider's business location address is:

521 4TH AVE S
GLASGOW, MT
ZIP 59230-434
Phone: (406) 228-2208
Fax: (406) 228-4208

The provider's authorized official is Susan Baadsgaard .
The authorized official title is Director and has the following contact phone number (406) 228-2208.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		0700553	MONTANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9566	OTHER	MONTANA	DPHHS RESIDENTIAL HEALTH
2	0700553	MEDICAID	MONTANA

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: 11/14/2023

NPI Synchronization or Removal

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