Evergreen At Polson, L.l.c. is a
Skilled Nursing Facility based in Polson, Montana. Evergreen At Polson, L.l.c. is licensed to practice in Montana (license number 10145) and their current practice location is
9 14th Ave W, Polson, Montana. It can be reached at their office (for appointments etc.) via phone at
(406) 883-4378.
NPI number for Evergreen At Polson, L.l.c. is 1093763419 and their current mailing address is 4601 Ne 77th Ave, Suite 300, Vancouver, Washington. Evergreen At Polson, L.l.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093763419.
Healthcare Provider's Profile
Full Name | Evergreen At Polson, L.l.c. |
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Type | Facility |
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Speciality | Skilled Nursing Facility |
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Location | 9 14th Ave W, Polson, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093763419
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 03/11/2021
Medical Identifiers
Medical identifiers for Evergreen At Polson, L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093763419 | NPI | - | NPPES |
310622 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QH0700X | Clinic/center - Hearing And Speech | 3111 (Montana) | Secondary |
261QH0700X | Clinic/center - Hearing And Speech | 3582 (Montana) | Secondary |
314000000X | Skilled Nursing Facility | 10145 (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 Polson, 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 Polson, L.l.c. 4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662-6736 Ph: (360) 892-6628 | Evergreen At Polson, L.l.c. 9 14th Ave W, Polson, MT 59860-5321 Ph: (406) 883-4378 |
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