Healthcare Provider Details

I. General information

NPI: 1053577205
Provider Name (Legal Business Name): MONTANA CHILDREN'S HOME & HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 SHODAIR DRIVE
HELENA MT
59601
US

IV. Provider business mailing address

PO BOX 5539
HELENA MT
59604-5539
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-7500
  • Fax: 406-884-2085
Mailing address:
  • Phone: 406-444-7500
  • Fax: 406-884-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CRAIG AASVED
Title or Position: CEO
Credential:
Phone: 406-444-7500