HILLSIDE HEALTH CARE CENTER, LLC (NPI# 1265597207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265597207 |
| Entity Type | Organization |
| Organization Name | HILLSIDE HEALTH CARE CENTER, LLC |
| Practice Address |
4720 23rd Ave Missoula MT 59803-1137 |
| Mailing Address |
1107 Hazeltine Blvd Ste 200 Chaska MN 55318-1070 |
| Practice Telephone | 4062515100 |
| Practice Fax Number | 4062514278 |
| Mailing Telephone | 9523618000 |
| Mailing Fax Number | 9523618060 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | JAMES A. WEICHERT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9523618000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
755 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 217598 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2703785 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811306 | Hillside Health Care Center, LLC | Assisted Living Facility | 4718 23rd Ave, Suite 300, Missoula, MT 59803-1163 | 2006-06-17 |
| 1043276058 | Hillside Health Care Center, LLC | Skilled Nursing Facility | 4720 23rd Ave, Missoula, MT 59803-1137 | 2006-04-26 |
| Street Address |
4720 23RD AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276058 | Hillside Health Care Center, LLC | Skilled Nursing Facility | 4720 23rd Ave, Missoula, MT 59803-1137 | 2006-04-26 |
| 1861862880 | Jaime Jacoby | Physical Therapy Assistant | 4720 23rd Ave, Missoula, MT 59803-1137 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164587200 | Community Nursing Inc. | Pharmacy | 2651 South Ave W, Missoula, MT 59804-6405 | 2006-12-27 |
| 1609931641 | Riverside Health Care Center | Pharmacy | 1301 E Broadway St, Missoula, MT 59802-4905 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641069 | Glacier Pharmacy LLC | Pharmacy | 601 W Main St Ste 1a, Cut Bank, MT 59427-2832 | 2019-07-17 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1174945406 | Healthcare Providers-ltc | Pharmacy | 1900 N 1st St Ste B, Hamilton, MT 59840-3115 | 2014-01-06 |
| 1659504363 | Glacier Ridge Pharmacy Inc | Pharmacy | 6475 Us Highway 93 S, Whitefish, MT 59937-8282 | 2009-08-27 |
| 1205062098 | Glacier Ridge Pharmacy Inc | Pharmacy | 55 1st Avenue East N, Kalispell, MT 59901-4001 | 2009-06-07 |
| 1790804557 | Mt State Veterans Home Satelite Pharmacy | Pharmacy | 400 Veterans Road, Columbia Falls, MT 59912-0250 | 2007-03-29 |
| 1851424246 | Three Bears Alaska Inc | Pharmacy | 45 Three Bears Dr, Butte, MT 59701 | 2007-03-14 |
| 1164559746 | Pharmfill Inc | Pharmacy | 117 N Main St # A, Three Forks, MT 59752-9013 | 2007-02-28 |
| 1902942469 | Granite Cnty Med Hosp Phcy | Pharmacy | 310 Sansome St, Philipsburg, MT 59858-0729 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.