Organization
GLENDIVE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBINSON (VP OF FINANCIAL SERVICES)
(406) 345-3301
Entity
Organization
Contact information
Practice address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
(406) 345-3358
Mailing address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
(406) 345-3358
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10704
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000316615
—
MT
01
—
000082
SKILLED NURSING FACILITY
MT
Enumeration date
08/09/2006
Last updated
03/04/2021
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