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Organization
HILLSIDE HEALTH CARE CENTER, LLC
Active
Organization
HILLSIDE HEALTH CARE CENTER, LLC
Active
Other names
Hillside Health Care Center, Hillside Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A. WEICHERT (AUTHORIZD OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
4720 23RD AVE, MISSOULA, MT 59803-1137
(406) 251-5100
(406) 251-4278
Mailing address
1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9917
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217698
—
MT
05
—
0310258
—
MT
05
—
0344890
—
MT
05
—
0345020
—
MT
05
—
0532844
—
MT
01
—
4074-2
BCBS OF MONTANA
—
05
—
610116
—
MT
Enumeration date
04/26/2006
Last updated
06/16/2018
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