Organization
EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
Active
Organization
EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
Active
Other names
ESGW EARLY INTERVENTION PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHERMAN (CFO)
(406) 771-3762
Entity
Organization
Contact information
Practice address
5242 SOUTH 4820 WEST, ATT JANET WADE, KEARNS, UT 84118
(801) 633-2091
Mailing address
425 1ST AVE N, GREAT FALLS, MT 59401-2507
(406) 761-3680
(406) 761-1390
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
03/26/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up