# HILLSIDE HEALTH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillside Health Care Center, Hillside Health & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043276058
- **Authorized official:** MR. JAMES A. WEICHERT (AUTHORIZD OFFICIAL)
- **Authorized official phone:** (952) 361-8000

## Contact information

- **Practice address:** 4720 23RD AVE, MISSOULA, MT 59803-1137
- **Practice address phone:** (406) 251-5100
- **Practice address fax:** (406) 251-4278
- **Mailing address:** 1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
- **Mailing address phone:** (952) 361-8000
- **Mailing address fax:** (952) 361-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 9917 | MT | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 06/16/2018

## 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 |