Healthcare Provider Details

I. General information

NPI: 1073250205
Provider Name (Legal Business Name): RAVALLI COUNTY COUNCIL ON AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 OLD CORVALLIS RD
HAMILTON MT
59840-3127
US

IV. Provider business mailing address

310 OLD CORVALLIS RD
HAMILTON MT
59840-3127
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-5690
  • Fax: 406-363-0401
Mailing address:
  • Phone: 406-363-5690
  • Fax: 406-363-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CATHERINE ORR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-363-5690