Organization
RIVERSIDE HEALTH CARE CENTER
Active
Other names
Riverside Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEICHERT (CHAIRMAN OF THE BOARD)
(952) 361-8000
Entity
Organization
Contact information
Practice address
1301 E BROADWAY ST, MISSOULA, MT 59802-4905
(406) 721-0680
(406) 721-9788
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
9926
MT
Other
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
Enumeration date
04/26/2006
Last updated
09/24/2024
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