Healthcare Provider Details

I. General information

NPI: 1497754782
Provider Name (Legal Business Name): LIBERTY COUNTY HOSPITAL AND NURSING HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 WEST MADISON AVENUE
CHESTER MT
59522-0705
US

IV. Provider business mailing address

PO BOX 705
CHESTER MT
59522-0705
US

V. Phone/Fax

Practice location:
  • Phone: 406-759-5181
  • Fax: 406-759-5799
Mailing address:
  • Phone: 406-759-5181
  • Fax: 406-759-5799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10273
License Number StateMT

VIII. Authorized Official

Name: CHERIE TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 406-873-3736