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NPI Code Detail

MEDICARE: ST. JOHN'S LUTHERAN MINISTRIES INC

MEDICARE: ST. JOHN'S LUTHERAN MINISTRIES INC
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
1253Z00000XIn Home Supportive Care Agency
2261QA0600XAdult Day Care Clinic/Center10849MT
3261QR0400XRehabilitation Clinic/Center
4291U00000XClinical Medical Laboratory
5310400000XAssisted Living Facility10024MT
6310400000XAssisted Living Facility10959MT
7310400000XAssisted Living Facility10938MT
8314000000XSkilled Nursing Facility10910MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588653679
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOHN'S LUTHERAN MINISTRIES INC
Provider Business Mailing Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5600
Fax Number : 406-655-5656
Provider Business Practice Location Address
First Line : 3940 RIMROCK RD
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0141
Country : US
Telephone Number : 406-655-5600
Fax Number : 406-655-5656
Authorized Official
Title or Position : CFO
Name : JERRY PEARSALL
Credential :
Telephone Number : 406-655-5684
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/05/2024

Similar Medicare Providers

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1205879103 — MIKE NICHOLES LCSW
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1902817547 — ST. JOHN'S UNITED
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1336206093 — MRS. SARAH ANNE PARKER PT
Practice Location Address:
3940 RIMROCK RD
BILLINGS, MT
59102-0141
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Practice Fax:
1710044466 — MS. SHELLEE JO AGER P.T.
Practice Location Address:
3940 RIMROCK RD
BILLINGS, MT
59102-0141
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Directions to “ST. JOHN'S LUTHERAN MINISTRIES INC ” Practice Location

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