Evergreen At Polson, L.L.C. in Polson - Skilled Nursing Facility
Evergreen At Polson, L.L.C. - NPI 1093763419
Evergreen At Polson, L.L.C. is a Skilled Nursing Facility in Polson, Montana. Evergreen At Polson, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Polson, L.L.C. is 1093763419. The last update date is 2021-03-11.
Evergreen At Polson, L.L.C.'s current location address is 9 14th Ave W, Polson, Montana. You can contact this provider via phone number 4068834378 and fax number 4068833388. The mailing address for Evergreen At Polson, L.L.C. is 9 14th Ave W, Polson, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Polson, L.L.C. |
|---|---|
| Address | 9 14th Ave W, Polson, Montana |
| Phone Number | 4068834378 |
| Fax Number | 4068833388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1093763419 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 9 14th Ave W |
|---|---|
| City | Polson |
| State | Montana (MT) |
| Post Code | 598605321 |
| Phone Number | 4068834378 |
| Fax Number | 4068833388 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10145 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 310622 | MT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen At Polson, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen At Polson, L.L.C. has been assigned the NPI (National Provider Identifier) 1093763419. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Evergreen At Polson, L.L.C.'s facilities are situated?
The facilities of Evergreen At Polson, L.L.C. are physically located at the following address: 9 14Th Ave W, Polson, MT, 598605321.
What is Evergreen At Polson, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen At Polson, L.L.C.'s area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093763419 to Evergreen At Polson, L.L.C.?
The Centers for Medicare & Medicaid Services originally issued the 1093763419 to Evergreen At Polson, L.L.C. on 2006-05-05.
When was the information pertaining to Evergreen At Polson, L.L.C. most recently updated or revised?
The details related to Evergreen At Polson, L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2021-03-11.
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