PRAIRIE RIDGE VILLAGE
Assisted Living Facility
Glasgow, Montana
Provider NPI: 1942313283
Organization Information:Organization Name: PRAIRIE RIDGE VILLAGE
Practice Location:
521 4TH AVE S GLASGOW, MT 59230 US
Tel: 406-228-2208 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
521 4TH AVE S GLASGOW, MT 59230 US
Tel: 406-228-2208 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MT | 0700553 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DPHHS RESIDENTIAL HEALTH | 9566 | MT | 01 |
0700553 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin