MEDICARE: VSR 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	310400000X	Assisted Living Facility	9908	MT

General Provider Information

NPI Number	:	1245268671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VSR LLC

Provider Business Mailing Address
First Line	:	1107 HAZELTINE BLVD
Second Line	:	SUITE 200
City	:	CHASKA
State	:	MN
Zip	:	55318-1009
Country	:	US
Telephone Number	:	952-361-8000
Fax Number	:	952-361-8060

Provider Business Practice Location Address
First Line	:	2815 OLD FORT RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7422
Country	:	US
Telephone Number	:	406-549-1300
Fax Number	:	406-721-1620

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN B GOODMAN
Credential	:
Telephone Number	:	952-361-8000

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	05/30/2014

Similar Medicare Providers

1215600929 — GENESIS GREY
Practice Location Address:

1900 27TH AVE
MISSOULA, MT
59804-5152

Practice Phone: 619-994-9068
Practice Fax:

1083571822 — NEVIN EMILY LARSEN DPT
Practice Location Address:

2651 SOUTH AVE W
MISSOULA, MT
59804-6402

Practice Phone: 406-855-3894
Practice Fax:

1740807544 — MRS. BAILEY AMBER LODATO PT, DPT
Practice Location Address:

5000 BLUE MOUNTAIN RD
MISSOULA, MT
59804-9213

Practice Phone: 406-251-2323
Practice Fax: 406-251-2999

1447683651 — GRANITE PHARMACY MISSOULA, LLC
Practice Location Address:

2230 27TH AVE. WEST , SUITE 2
MISSOULA, MT
59804

Practice Phone: 406-926-2940
Practice Fax: 406-926-2944

1578996773 — G & E VENTURES INC
Practice Location Address:

2230 27TH AVE STE 1
MISSOULA, MT
59804-5128

Practice Phone: 406-926-2940
Practice Fax: 406-926-2944

1881691400 — JUDY A GILMAN NP
Practice Location Address:

805 HOWARD ST
MISSOULA, MT
59804-1903

Practice Phone: 406-546-7819
Practice Fax: 406-728-4919

Directions to “VSR LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.