Healthcare Provider Details

I. General information

NPI: 1336149517
Provider Name (Legal Business Name): HOSPICE OF MONTANA III LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 MONROE AVENUE SUITE 100
BUTTE MT
59701
US

IV. Provider business mailing address

3737 GRAND AVENUE SUITE 1
BILLINGS MT
59102
US

V. Phone/Fax

Practice location:
  • Phone: 406-702-1742
  • Fax: 406-702-1842
Mailing address:
  • Phone: 406-671-5686
  • Fax: 406-702-1842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER GRAHAM
Title or Position: CFO
Credential:
Phone: 406-671-5686