Healthcare Provider Details

I. General information

NPI: 1215845524
Provider Name (Legal Business Name): CHRISTIAN PATRICK LEE CRITES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 HERITAGE ST APT B
STEVENSVILLE MT
59870-2737
US

IV. Provider business mailing address

203 HERITAGE ST APT B
STEVENSVILLE MT
59870-2737
US

V. Phone/Fax

Practice location:
  • Phone: 406-546-9189
  • Fax:
Mailing address:
  • Phone: 406-546-9189
  • Fax:

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 TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: