Deer Lodge

LBN: 1100 Texas Avenue Operations Llc
Deer Lodge is an health care organization with primary practice located at 1100 Texas Ave , Deer Lodge MT 59722-1829. 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. 1100 Texas Avenue Operations Llc can be contacted via phone (406) 846-1655, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1100 Texas Ave Deer Lodge MT 59722-1829
Phone: (406) 846-1655
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 12681 Montana

Profile Details

NPI number 1821043621
LBN Legal business name 1100 Texas Avenue Operations Llc
DBA Doing business as Deer Lodge
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated May 17th, 2016 - about 9 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 1821043621 NPPES
Montana MEDICAID 0347718
Montana MEDICAID 0310250
Montana MEDICAID 0347701

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