Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSTATE OF MONTANA
Intermediate Care Facility, Mental Illness
Lewistown, Montana
Provider NPI: 1528079720
Organization Information:Organization Name: STATE OF MONTANA
Practice Location:
800 CASINO CREEK DR LEWISTOWN, MT 59457 US
Tel: 406-538-7451 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:
800 CASINO CREEK DR LEWISTOWN, MT 59457 US
Tel: 406-538-7451 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | MT | 10746 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 57-2676 | MT | 05 | |
| 57-2546 | MT | 05 | |
| 57-0197 | MT | 05 | |
| 57-0414 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin