# RIVERSIDE HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Health & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356308399
- **Authorized official:** JAMES A WEICHERT (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (952) 361-8000

## Contact information

- **Practice address:** 1301 E BROADWAY ST, MISSOULA, MT 59802-4905
- **Practice address phone:** (406) 721-0680
- **Practice address fax:** (406) 721-9788
- **Mailing address:** 1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
- **Mailing address phone:** (952) 361-8000
- **Mailing address fax:** (952) 361-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | — |
| 314000000X | Skilled Nursing Facility | 9926 | MT | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 09/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0212953 | — | MT |
| 05 | — | 0311402 | — | MT |
| 05 | — | 0344110 | — | MT |
| 05 | — | 0344123 | — | MT |
| 05 | — | 0532181 | — | MT |
| 01 | — | 4076-2 | BCBS OF MONTANA | — |
| 05 | — | 612105 | — | MT |