# SIDNEY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIDNEY HEALTH CENTER
- **Other names:** Sidney Health Center Extended Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215922513
- **Legal business name:** SIDNEY HEALTH CENTER
- **Authorized official:** TINA MONTGOMERY (SENIOR EXECUTIVE, FINANCE/CFO)
- **Authorized official phone:** (406) 488-2117

## Contact information

- **Practice address:** 104 14TH AVE NW, SIDNEY, MT 59270-3525
- **Practice address phone:** (406) 488-2300
- **Practice address fax:** (406) 488-2260
- **Mailing address:** 104 14TH AVE NW, SIDNEY, MT 59270-3525
- **Mailing address phone:** (406) 488-2300
- **Mailing address fax:** (406) 488-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | 10340 | MT | — |
| 314000000X | Skilled Nursing Facility | 9669 | MT | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 12/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0310245 | — | MT |
| 05 | — | 0349323 | — | MT |
| 05 | — | 0351645 | — | MT |
| 05 | — | 0532077 | — | MT |