Healthcare Provider Details
I. General information
NPI: 1619445749
Provider Name (Legal Business Name): THE REHABILITATION HOSPITAL OF MONTANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2018
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3572 HESPER ROAD
BILLINGS MT
59102-6891
US
IV. Provider business mailing address
3572 HESPER RD
BILLINGS MT
59102-6891
US
V. Phone/Fax
- Phone: 406-413-6200
- Fax: 406-413-6201
- Phone: 406-413-6303
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
VOGEL
JR.
Title or Position: CEO
Credential:
Phone: 406-413-6200