Organization
STATE OF MONTANA
Active
Other names
Montana Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
ALEASHA MARTIN (FACILITY REIMBURSEMENT MANAGER)
(406) 444-3416
Entity
Organization
Contact information
Practice address
400 VETERANS DRIVE, COLUMBIA FALLS, MT 59912-0250
(406) 892-3256
(406) 892-0256
Mailing address
111 N SANDERS ST DEPT 30, HELENA, MT 59601-4520
(406) 444-3416
(406) 444-3082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
10640
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57-0129
—
MT
05
—
57-0146
—
MT
05
—
57-0163
—
MT
05
—
57-0219
—
MT
05
—
57-0323
—
MT
Enumeration date
08/08/2006
Last updated
01/26/2024
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