Organization
THANKFULLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALIDA TINCH CAED (OWNER/PRESIDENT)
(406) 871-1946
Entity
Organization
Contact information
Practice address
8250 MT HWY 35, STE 204, BIGFORK, MT 59911
(406) 871-1946
(406) 420-2008
Mailing address
PO BOX 1893, KALISPELL, MT 59903-1893
(406) 871-1946
(406) 420-2008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
58716
MT
253Z00000X
In Home Supportive Care Agency
58716
MT
332BC3200X
Customized Equipment (DME)
58716
MT
332BN1400X
Nursing Facility Supplies (DME)
58716
MT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
58716
MT
343900000X
Non-emergency Medical Transport (VAN)
58716
MT
347C00000X
Private Vehicle
58716
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710323308
—
MT
Enumeration date
01/21/2016
Last updated
04/01/2016
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