| Gallatin Rest Home | |
|
1221 Durston Rd Bozeman MT 59715-2725 | |
| (406) 582-3300 | |
| (406) 582-3333 |
| Full Name | Gallatin Rest Home |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 1221 Durston Rd, Bozeman, Montana |
| Authorized Official Name and Position | Darcel Vaughn (ADMINISTRATOR) |
| Authorized Official Contact | 4065823304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallatin Rest Home 1221 Durston Rd Bozeman MT 59715-2725 Ph: (406) 582-3300 | Gallatin Rest Home 1221 Durston Rd Bozeman MT 59715-2725 Ph: (406) 582-3300 |
| NPI Number | 1831196393 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 3274431945 |
|---|---|
| Medicare Enrollment ID | O20060503000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831196393 | NPI | - | NPPES |
| 0316836 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 314000000X | Skilled Nursing Facility | 9959 (Montana) | Secondary |
| 314000000X | Skilled Nursing Facility | () | Primary |
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