Easterseals-Goodwill Northern Rocky Mountain, Inc.

LBN: Easterseals-Goodwill Northern Rocky Mountain, Inc.
Easterseals-Goodwill Northern Rocky Mountain, Inc. is an health care organization with primary practice located at 425 1St Ave N , Great Falls MT 59401-2507. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health. Agencies / Home Health is the primary health care specialty. Easterseals-Goodwill Northern Rocky Mountain, Inc. can be contacted via phone (406) 454-3883, or through Sherman, Mark via phone (406) 771-3762.

Contact Information

Primary practice address
425 1St Ave N Great Falls MT 59401-2507
Fax: (406) 454-3235
Website:
Authorized official contact:
Name: Sherman, Mark

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Montana
Agencies / Home Health 251E00000X

Profile Details

NPI number 1104953868
LBN Legal business name Easterseals-Goodwill Northern Rocky Mountain, Inc.
DBA Doing business as
Authorized official Sherman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 26th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104953868 NPPES
Idaho MEDICAID 805011100

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