Organization
HOSPICE OF MISSOULA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JACKSON (OWNER)
(406) 543-4408
Entity
Organization
Contact information
Practice address
800 KENSINGTON AVE, SUITE 209, MISSOULA, MT 59801-5674
(406) 543-4408
(406) 543-4418
Mailing address
800 KENSINGTON AVE, SUITE 209, MISSOULA, MT 59801-5674
(406) 543-4408
(406) 543-4418
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
9596
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0750210
—
MT
01
—
350190
BLUE CROSS BLUE SHIELD
MT
Enumeration date
09/06/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us