Healthcare Provider Details

I. General information

NPI: 1790898112
Provider Name (Legal Business Name): CENTRAL MONTANA MEDICAL FACILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 WENDELL AVE
LEWISTOWN MT
59457-2261
US

IV. Provider business mailing address

408 WENDELL AVE
LEWISTOWN MT
59457-2261
US

V. Phone/Fax

Practice location:
  • Phone: 406-535-6302
  • Fax: 406-535-6306
Mailing address:
  • Phone: 406-535-6302
  • Fax: 406-535-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number10529
License Number StateMT

VIII. Authorized Official

Name: CODY LANGBEHN
Title or Position: CEO
Credential:
Phone: 406-535-6200