Polson Health And Rehabilitation Center

LBN: Evergreen At Polson, L.L.C.
Polson Health And Rehabilitation Center is an health care organization with primary practice located at 9 14Th Ave W , Polson MT 59860-5321. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Hearing and Speech, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Evergreen At Polson, L.L.C. can be contacted via phone (406) 883-4378, or through Weil, Brent via phone (360) 892-6628.

Contact Information

Primary practice address
9 14Th Ave W Polson MT 59860-5321
Phone: (406) 883-4378
Fax: (406) 883-3388
Website:
Map and Directions
Authorized official contact:
Name: Weil, Brent
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 3111 Montana
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 3582 Montana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10145 Montana

Profile Details

NPI number 1093763419
LBN Legal business name Evergreen At Polson, L.L.C.
DBA Doing business as Polson Health And Rehabilitation Center
Authorized official Weil, Brent
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Mar 11th, 2021 - about 4 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 1093763419 NPPES
Montana MEDICAID 310622

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