Healthcare Provider Details

I. General information

NPI: 1487831723
Provider Name (Legal Business Name): CONSTRUCTION MANAGEMENT SERVICES CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 FAIRWAY DR
BOZEMAN MT
59715-5871
US

IV. Provider business mailing address

2050 FAIRWAY DR
BOZEMAN MT
59715-5871
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-0611
  • Fax: 406-585-2698
Mailing address:
  • Phone: 406-585-0611
  • Fax: 406-585-2698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number12414
License Number StateMT

VIII. Authorized Official

Name: MR. DONALD PLATISHA
Title or Position: PRESIDENT
Credential:
Phone: 406-585-0611