Healthcare Provider Details
I. General information
NPI: 1598554008
Provider Name (Legal Business Name): SPRINGS BUTTE OPERATOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 MOUNT HIGHLAND DR
BUTTE MT
59701-4080
US
IV. Provider business mailing address
3330 SE THREE MILE LN
MCMINNVILLE OR
97128-6232
US
V. Phone/Fax
- Phone: 406-494-0083
- Fax:
- Phone: 503-435-2323
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
STRADLEY
Title or Position: EVP
Credential:
Phone: 503-435-2332