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General NPI Number Information
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NPI Number | 1336149517
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Entity Type | Organization
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Legal Business Name | HOSPICE OF MONTANA III LLC
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 3475 MONROE AVENUE SUITE 100
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City | BUTTE
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State | MT
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Zip | 59701
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Country | US
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Telephone | 406-702-1742
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Fax | 406-702-1842
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Provider Business Mailing Address
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Address Line | 3737 GRAND AVENUE SUITE 1
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 406-671-5686
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Fax | 406-702-1842
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Authorized Official
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Title or Position | CFO
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Name | MR. CHRISTOPHER GRAHAM
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Credential |
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Telephone | 406-671-5686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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