Evergreen At Livingston, L.L.C. in Livingston - Occupational Medicine
Evergreen At Livingston, L.L.C. - NPI 1497703896
Evergreen At Livingston, L.L.C. is a Occupational Medicine in Livingston, Montana. Evergreen At Livingston, L.L.C. practices all healthcare services and medical treatments related to Occupational Medicine. The NPI Number for Evergreen At Livingston, L.L.C. is 1497703896. The last update date is 2017-06-14.
Evergreen At Livingston, L.L.C.'s current location address is 510 S 14th St, Livingston, Montana. You can contact this provider via phone number 4062220672 and fax number 4062221406. The mailing address for Evergreen At Livingston, L.L.C. is 510 S 14th St, Livingston, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Livingston, L.L.C. |
|---|---|
| Address | 510 S 14th St, Livingston, Montana |
| Phone Number | 4062220672 |
| Fax Number | 4062221406 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1497703896 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 510 S 14th St |
|---|---|
| City | Livingston |
| State | Montana (MT) |
| Post Code | 590473731 |
| Phone Number | 4062220672 |
| Fax Number | 4062221406 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Medicine |
|---|---|
| Taxonomy | 261Qx0100X |
| Licence No | 316 |
|
Definition: Prevents, diagnoses and treats work-related injuries and illnesses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 310862 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen At Livingston, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen At Livingston, L.L.C. has been issued the NPI (National Provider Identifier) 1497703896 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evergreen At Livingston, L.L.C.?
The Evergreen At Livingston, L.L.C. is situated at 510 S 14Th St, in the city of Livingston, state of MT, with the zip code 590473731.
What is Evergreen At Livingston, L.L.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evergreen At Livingston, L.L.C. is Occupational Medicine, and the taxonomy classification code that categorizes this area of expertise is 261Qx0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497703896 to Evergreen At Livingston, L.L.C.?
The Centers for Medicare & Medicaid Services originally issued the 1497703896 to Evergreen At Livingston, L.L.C. on 2006-05-05.
When was the information regarding Evergreen At Livingston, L.L.C. most recently updated?
The details pertaining to the Evergreen At Livingston, L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2017-06-14.