MEDICARE: HOSPICE OF MONTANA III 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	261Q00000X	Clinic/Center
2	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336149517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF MONTANA III LLC

Provider Business Mailing Address
First Line	:	3737 GRAND AVE STE 1
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6258
Country	:	US
Telephone Number	:	406-671-5686
Fax Number	:	406-702-1842

Provider Business Practice Location Address
First Line	:	3475 MONROE AVENUE
Second Line	:	SUITE 100
City	:	BUTTE
State	:	MT
Zip	:	59701
Country	:	US
Telephone Number	:	406-702-1742
Fax Number	:	406-702-1842

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTOPHER GRAHAM
Credential	:
Telephone Number	:	406-702-1742

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	05/27/2026

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Directions to “HOSPICE OF MONTANA III LLC ” Practice Location

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