EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC


Address: 3703 Harrison Ave, Butte, MT 59701-6897
Phone: 4065330020

EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC (NPI# 1336149517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336149517
Entity Type Organization
Organization Name EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC
Other Organization Name HIGHLANDS HOSPICE
Practice Address 3703 Harrison Ave
Butte
MT 59701-6897
Mailing Address 425 1st Ave N
Great Falls
MT 59401-2507
Practice Telephone 4065330020
Practice Fax Number 4065330019
Mailing Telephone 4067713754
Mailing Fax Number 4067611390
Enumeration Date 2005-07-28
Last Update Date 2019-03-26
Authorized Official Name SUSAN DORR (DIRECTOR OF BILLING & REIMBURSEMENT)
Authorized Official Telephone 4067713754
Is Organization Subpart Y
Parent Organization Name EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MT 750048 05

Other Provider/Organization Names

Other Name Type Code
Highland Hospice Other Name - Individual/Organization
Highlands Hospice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558706945 Easterseals-goodwill Northern Rocky Mountain, Inc Community/Behavioral Health 510 Arthur St Ste 150, Caldwell, ID 83605-3778 2013-04-30
1598100992 Easterseals-goodwill Northern Rocky Mountain, Inc Early Intervention Provider Agency 2401 Montana Ave Ste 301, Billings, MT 59101-2375 2013-04-30
1144571993 Easterseals-goodwill Northern Rocky Mountain, Inc Durable Medical Equipment & Medical Supplies 1537 Avenue D Ste 111, Billings, MT 59102-3048 2012-09-19
1437159035 Easterseals-goodwill Northern Rocky Mountain, Inc Home Health 425 1st Ave N, Great Falls, MT 59401-2507 2005-07-26
1871159699 Easterseals-goodwill Northern Rocky Mountain, Inc In Home Supportive Care 425 1st Ave N, Great Falls, MT 59401-2507 2019-05-16
1164697991 Easterseals-goodwill Northern Rocky Mountain, Inc Occupational Therapy Assistant 1537 Avenue D, Suite 210, Billings, MT 59102-3048 2008-04-23

Office Location

Street Address 3703 HARRISON AVE
City BUTTE
State MT
Zip Code 59701-6897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104830793 Mercury Street Medical Group Pllc Legal Medicine 3703 Harrison Ave, Butte, MT 59701-6897 2006-07-28
1295771707 Benjamin Collins Nagel Physician Assistant 3703 Harrison Ave, Butte, MT 59701-6897 2006-06-22
1891776944 Todd D Mohr Physician Assistant 3703 Harrison Ave, Butte, MT 59701-6897 2005-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124580147 Meighan Robbins Counselor 3147 Wynne Ave, Butte, MT 59701 2019-04-01
1982174538 Michael Jon Dahle Social Worker 81 W. Park St., Butte, MT 59701 2018-11-27
1023534997 Kari Williams Specialist/Technologist 400 S Clark St., Butte, MT 59701 2017-08-22
1932630191 Laura Leigh Watson Social Worker 3509 Whiteway, Butte, MT 59701 2017-03-21
1386181824 Charles Raymond Canty Orthopaedic Surgery 3441 Quincy St., Butte, MT 59701 2017-01-23
1528500899 Janette A Reget Social Worker 235 S. Crystal St., Butte, MT 59701 2016-11-17
1851761662 Robin Catherine Becker Nurse Practitioner 209 S Montana St Ste B4, Butte, MT 59701 2015-10-06
1336546043 Sara Rachel Brackett Reflexologist 1114 Maryland, Butte, MT 59701 2014-11-24
1548676117 Laurie Ann Butkay Technician/Technologist 3417 Busch, Butte, MT 59701 2014-07-03
1760801930 Julie Ann Monson Counselor 3738 Harrison Ave, Butte, MT 59701 2014-04-15
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790295046 Senior Solutions, Inc. Hospice Care, Community Based 125 W Granite St Ste 100, Butte, MT 59701-9215 2017-10-01
1437514619 Highlands Veterinary Hospital Hospice Care, Community Based 840 S Montana St, Butte, MT 59701-2859 2015-12-15
1205008471 Hospice Solutions LLC Hospice Care, Community Based 19 Discovery Dr, Butte, MT 59701-3124 2008-03-28
1942813449 Stella Maris Health & Hospice Inc Hospice Care, Community Based 3701 Elizabeth Warren Ave, Butte, MT 59701-4371 2020-08-25
1588982607 Rocky Mountain Hospice of Butte, LLC Hospice Care, Community Based 19 Discovery Dr, Butte, MT 59701-3124 2010-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659891505 Hospice of Montana, LLC Hospice Care, Community Based 3737 Grand Ave Ste 4, Billings, MT 59102-6258 2017-06-21
1336546456 Hospice of Ravalli County Hospice Care, Community Based 7901 Saddlebow Trl, Missoula, MT 59808-1237 2014-12-04
1235483728 Home Based Services Initiative, LLC Hospice Care, Community Based 3940 Rimrock Road, Billings, MT 59102-0141 2012-11-05
1235454273 Forrest Financial LLC Hospice Care, Community Based 575 Toluca Dr, Billings, MT 59101-6876 2010-04-01
1982928446 Hospice of Southwest Montana, LLC Hospice Care, Community Based 3810 Valley Commons Dr, Suite 1, Bozeman, MT 59718-6477 2010-03-26
1497894026 Rocky Mountain Hospice Hospice Care, Community Based 2110 Overland Ave Ste 111, Billings, MT 59102-6440 2007-02-06
1841342011 St. John's Lutheran Hospital, Inc Hospice Care, Community Based 313 Montana Ave, Libby, MT 59923-2037 2007-01-17
1093892705 Big Horn Hospice Inc Hospice Care, Community Based Hc 36 Box 2010, Hardin, MT 59034-9601 2006-11-01
1023066453 Community Hospital of Anaconda Hospice Care, Community Based 305 W Pennsylvania St, Anaconda, MT 59711-1900 2006-05-05
1437143484 Hospice of Missoula LLC Hospice Care, Community Based 800 Kensington Ave, Suite 209, Missoula, MT 59801-5674 2005-09-06
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Competitor

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City BUTTE
Zip Code 59701

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Dataset Information

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.

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