Edgewood Vista

LBN: Edgewood Vista
Edgewood Vista is an health care organization with primary practice located at 2815 Palmer St , Missoula MT 59808-1643. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Edgewood Vista can be contacted via phone (406) 549-9660, or through Wilkening, Brett via phone (701) 738-2000.

Contact Information

Primary practice address
2815 Palmer St Missoula MT 59808-1643
Phone: (406) 549-9660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkening, Brett
Phone: (701) 738-2000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 10029 Montana

Profile Details

NPI number 1366595597
LBN Legal business name Edgewood Vista
DBA Doing business as
Authorized official Wilkening, Brett
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - 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 1366595597 NPPES
Montana MEDICAID 840191

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