NPI | 1104295864 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE LIBERTINI Payer Enrollment Supervisor 406-414-1958 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital |
Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
Enumeration Date | 2015-09-23 |
Last Update Date | 2024-11-19 |