Healthcare Provider Details

I. General information

NPI: 1689602716
Provider Name (Legal Business Name): BENEFIS COMMUNITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 29TH ST S
GREAT FALLS MT
59405-5306
US

IV. Provider business mailing address

1411 9TH ST S
GREAT FALLS MT
59405-4507
US

V. Phone/Fax

Practice location:
  • Phone: 406-731-8145
  • Fax: 406-731-8142
Mailing address:
  • Phone: 406-771-6400
  • Fax: 406-771-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. FORREST EHLINGER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 406-455-5479