Healthcare Provider Details

I. General information

NPI: 1205931573
Provider Name (Legal Business Name): LIBERTY COUNTY HOSPITAL AND NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W MADISON AVE
CHESTER MT
59522-7801
US

IV. Provider business mailing address

PO BOX 705
CHESTER MT
59522-0705
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10623
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

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