Evergreen At Clancy, L.L.C. in Clancy - Skilled Nursing Facility

Evergreen At Clancy, L.L.C. - NPI 1841248242

Evergreen At Clancy, L.L.C. is a Skilled Nursing Facility in Clancy, Montana. Evergreen At Clancy, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Clancy, L.L.C. is 1841248242. The last update date is 2020-08-22.

Evergreen At Clancy, L.L.C.'s current location address is 474 Highway 282, Clancy, Montana. You can contact this provider via phone number 4069338311 and fax number 4069338391. The mailing address for Evergreen At Clancy, L.L.C. is 474 Highway 282, Clancy, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen At Clancy, L.L.C.
Address 474 Highway 282, Clancy, Montana
Phone Number 4069338311
Fax Number 4069338391
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Martini V Andrew
Telephone Number 3608926628

NPI Number Detail

NPI Number 1841248242
Provider Enumeration Date 2006-05-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 474 Highway 282
City Clancy
State Montana (MT)
Post Code 596349519
Phone Number 4069338311
Fax Number 4069338391

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 9261
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
310012 MT --

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FAQs about Evergreen At Clancy, L.L.C.

What is the Evergreen At Clancy, L.L.C.'s 1841248242?

The Evergreen At Clancy, L.L.C.'s NPI (National Provider Identifier) Number is 1841248242. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Evergreen At Clancy, L.L.C. is geographically located?

The Evergreen At Clancy, L.L.C. is physically situated at the following location: 474 Highway 282, Clancy, MT, 596349519.

What is Evergreen At Clancy, 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 Clancy, L.L.C. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When did the Evergreen At Clancy, L.L.C. receive its 1841248242?

The Evergreen At Clancy, L.L.C. was issued its 1841248242 on 2006-05-05, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Evergreen At Clancy, L.L.C. most recently updated or revised?

The details related to Evergreen At Clancy, L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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