Evergreen At Missoula, L.l.c. is a
Skilled Nursing Facility based in Missoula, Montana. Evergreen At Missoula, L.l.c. is licensed to practice in Montana (license number ) and their current practice location is
3018 Rattlesnake Dr, Missoula, Montana. It can be reached at their office (for appointments etc.) via phone at
(406) 549-0988.
NPI number for Evergreen At Missoula, L.l.c. is 1538117940 and their current mailing address is 4601 Ne 77th Ave, Suite 300, Vancouver, Washington. Evergreen At Missoula, L.l.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538117940.
Healthcare Provider's Profile
| Full Name | Evergreen At Missoula, L.l.c. |
|---|
| Type | Facility |
|---|
| Speciality | Skilled Nursing Facility |
|---|
| Location | 3018 Rattlesnake Dr, Missoula, Montana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538117940
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 01/20/2022
Medical Identifiers
Medical identifiers for Evergreen At Missoula, L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538117940 | NPI | - | NPPES |
| 0310029 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (Montana) | Secondary |
| 310400000X | Assisted Living Facility | (Montana) | Secondary |
| 314000000X | Skilled Nursing Facility | 7280 (Montana) | Secondary |
| 314000000X | Skilled Nursing Facility | (Montana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evergreen At Missoula, L.l.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evergreen At Missoula, L.l.c.
4601 Ne 77th Ave, Suite 300,
Vancouver, WA 98662-6736
Ph: (360) 892-6628 | Evergreen At Missoula, L.l.c.
3018 Rattlesnake Dr,
Missoula, MT 59802-6101
Ph: (406) 549-0988 |
Reviews and Comments