MEDICARE: DISCOVERY CARE CENTRE LTD

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	314000000X	Skilled Nursing Facility	10190	MT

General Provider Information

NPI Number	:	1902800857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVERY CARE CENTRE LTD

Provider Business Mailing Address
First Line	:	601 N 10TH ST
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2060
Country	:	US
Telephone Number	:	406-363-2273
Fax Number	:	406-363-2709

Provider Business Practice Location Address
First Line	:	601 N 10TH ST
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2060
Country	:	US
Telephone Number	:	406-363-2273
Fax Number	:	406-363-2709

Authorized Official
Title or Position	:	CFO
Name	:	KRISTA C HALL
Credential	:
Telephone Number	:	406-363-2273

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/14/2022

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