Organization
BIG SKY LIFE SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PAUL BUCKLES HCA (ADMINISTRATOR)
(406) 880-0184
Entity
Organization
Contact information
Practice address
8420 PHEASANT DR, MISSOULA, MT 59808-1012
(406) 880-0184
(406) 258-0512
Mailing address
8420 PHEASANT DR, MISSOULA, MT 59808-1012
(406) 880-0184
(406) 258-0512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
MT
Enumeration date
03/16/2022
Last updated
03/16/2022
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