Organization
GLENDIVE MEDICAL CENTER, INC
Active
Other names
EASTERN MONTANA VETERAN'S HOME
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBINSON (VP OF FINANCIAL SERVICES)
(406) 345-8924
Entity
Organization
Contact information
Practice address
2000 MONTANA AVE, GLENDIVE, MT 59330-3700
(406) 345-8855
(406) 345-8121
Mailing address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
(406) 345-3358
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082
BLUE CROSS OT
MT
05
—
0348530
—
MT
Enumeration date
08/08/2006
Last updated
03/04/2021
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