MEDICARE: ROCKY MOUNTAIN HOSPICE OF BILLINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	12934	MT

General Provider Information

NPI Number	:	1023336146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY MOUNTAIN HOSPICE OF BILLINGS, LLC

Provider Business Mailing Address
First Line	:	10CADILLAC DRIVE
Second Line	:	SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-377-7022
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	490 N 31ST ST STE 130A
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1256
Country	:	US
Telephone Number	:	406-294-0785
Fax Number	:	406-294-0788

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-309-5668

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	07/11/2023

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