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NPI Code Detail

MEDICARE: NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP

MEDICARE: NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP
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 Facility9415MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
54011-2OTHERBCBS OF MONTANA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265499297
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 1107 HAZELTINE BLVD
Second Line : STE 200
City : CHASKA
State : MN
Zip : 55318-1009
Country : US
Telephone Number : 952-361-8000
Fax Number : 952-361-8058
Provider Business Practice Location Address
First Line : 2115 CENTRAL AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4741
Country : US
Telephone Number : 406-656-6500
Fax Number : 406-652-7870
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JAMES A WEICHERT
Credential :
Telephone Number : 952-361-8000
Provider Enumeration Date : 04/26/2006
Last Update Date : 11/02/2017

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Directions to “NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP ” Practice Location

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