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NPI Code Detail

MEDICARE: ELKHORN HEALTH CARE INC

MEDICARE: ELKHORN HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityMT

General Provider Information

NPI Number : 1205051729
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELKHORN HEALTH CARE INC
Provider Business Mailing Address
First Line : 474 MT HIGHWAY 282
Second Line :
City : CLANCY
State : MT
Zip : 59634-9519
Country : US
Telephone Number : 406-933-8311
Fax Number : 406-933-8391
Provider Business Practice Location Address
First Line : 474 MT HIGHWAY 282
Second Line :
City : CLANCY
State : MT
Zip : 59634-9519
Country : US
Telephone Number : 406-933-8311
Fax Number : 406-933-8391
Authorized Official
Title or Position : OWNER
Name : BRENDAN FOLEY
Credential :
Telephone Number : 860-989-5053
Provider Enumeration Date : 04/17/2007
Last Update Date : 02/08/2013

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Directions to “ELKHORN HEALTH CARE INC ” Practice Location

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