# WIBAUX COUNTY NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WIBAUX COUNTY NURSING HOME OF WIBAUX MONTANA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023011590
- **Authorized official:** TINA BERTELSEN NHA/BOM (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (406) 796-2429

## Contact information

- **Practice address:** 712 WIBAUX ST S, WIBAUX, MT 59353-9022
- **Practice address phone:** (406) 796-2429
- **Practice address fax:** (406) 796-8109
- **Mailing address:** 712 WIBAUX ST S, WIBAUX, MT 59353-9022
- **Mailing address phone:** (406) 796-2429
- **Mailing address fax:** (406) 796-8109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10055 | MT | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 12/05/2024