| The Village Health & Rehabilitation | |
|
2651 South Ave W Missoula MT 59804-6405 | |
| (406) 728-9162 | |
| (406) 543-8128 |
| Full Name | The Village Health & Rehabilitation |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 2651 South Ave W, Missoula, Montana |
| Authorized Official Name and Position | James A. Weichert (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9523618000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Health & Rehabilitation 1107 Hazeltine Blvd Ste 200 Chaska MN 55318-1070 Ph: (952) 361-8000 | The Village Health & Rehabilitation 2651 South Ave W Missoula MT 59804-6405 Ph: (406) 728-9162 |
| NPI Number | 1811954662 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/15/2024 |
| Medicare PECOS PAC ID | 5890706584 |
|---|---|
| Medicare Enrollment ID | O20060509000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811954662 | NPI | - | NPPES |
| 0532519 | Medicaid | MT | |
| 0344760 | Medicaid | MT | |
| 0310180 | Medicaid | MT | |
| 4073-2 | Other | BCBS OF MONTANA | |
| 611494 | Medicaid | MT | |
| 0344773 | Medicaid | MT | |
| 0217685 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | 10068 (Montana) | Primary |
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