Evergreen Clancy Health And Rehabilitation Center

LBN: Evergreen At Clancy, L.L.C.
Evergreen Clancy Health And Rehabilitation Center is an health care organization with primary practice located at 474 Highway 282 , Clancy MT 59634-9519. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Evergreen At Clancy, L.L.C. can be contacted via phone (406) 933-8311, or through Martini, Andrew V via phone (360) 892-6628.

Contact Information

Primary practice address
474 Highway 282 Clancy MT 59634-9519
Phone: (406) 933-8311
Fax: (406) 933-8391
Website:
Map and Directions
Authorized official contact:
Name: Martini, Andrew V
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 9261 Montana

Profile Details

NPI number 1841248242
LBN Legal business name Evergreen At Clancy, L.L.C.
DBA Doing business as Evergreen Clancy Health And Rehabilitation Center
Authorized official Martini, Andrew V
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1841248242 NPPES
Montana MEDICAID 310012

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