Healthcare Provider Details

I. General information

NPI: 1811954662
Provider Name (Legal Business Name): COMMUNITY NURSING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 SOUTH AVE W
MISSOULA MT
59804-6405
US

IV. Provider business mailing address

1107 HAZELTINE BLVD STE 200
CHASKA MN
55318-1070
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-9162
  • Fax: 406-543-8128
Mailing address:
  • Phone: 952-361-8000
  • Fax: 952-361-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10068
License Number StateMT

VIII. Authorized Official

Name: MR. JAMES A. WEICHERT
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 952-361-8000